OBJECTIVE: to explore expert practitioners' methods of managing shoulder dystocia. DESIGN AND SETTING: a qualitative interpretive study enabled a descriptive, hermeneutic analysis of data collected. Data were collected via tape recorded interviews, transcribed and analysed to explore themes and meanings. PARTICIPANTS: five clinicians (four midwives and one obstetrician) who have significant experience in the management of shoulder dystocia and work in high risk maternity practice. IMPLICATIONS FOR PRACTICE: the results of this study demonstrate that the actions to be taken in the event of shoulder dystocia should be further examined and possibly reviewed. The three simple steps of McRoberts Manoeuvre - Suprapubic Pressure - Axillary Traction could revolutionise the way in which shoulder dystocia is managed.
OBJECTIVE: to explore expert practitioners' methods of managing shoulder dystocia. DESIGN AND SETTING: a qualitative interpretive study enabled a descriptive, hermeneutic analysis of data collected. Data were collected via tape recorded interviews, transcribed and analysed to explore themes and meanings. PARTICIPANTS: five clinicians (four midwives and one obstetrician) who have significant experience in the management of shoulder dystocia and work in high risk maternity practice. IMPLICATIONS FOR PRACTICE: the results of this study demonstrate that the actions to be taken in the event of shoulder dystocia should be further examined and possibly reviewed. The three simple steps of McRoberts Manoeuvre - Suprapubic Pressure - Axillary Traction could revolutionise the way in which shoulder dystocia is managed.
Authors: Lesley Ansell; David Alan Ansell; Judith McAra-Couper; Peter John Larmer; Nicholas Kenneth Gerald Garrett Journal: Aust N Z J Obstet Gynaecol Date: 2019-07-10 Impact factor: 2.100