How can shoulder dystocia be prevented? How to take care of

Some people may not know what shoulder dystocia is. For example, this pregnant woman’s height and weight are much larger than normal people. So, her child may be taller and heavier. In other words, the baby’s shoulders may be relatively broad, which may cause shoulder dystocia. If there are such pregnant women, please pay attention. Please join us to understand how to prevent and care for shoulder dystocia.

1. Prevention

To avoid macrosomia, the mother's diabetes and obesity are the main risk factors for macrosomia. There are also some related factors, such as both parents are tall, especially the mother; the weight of the fetus of some multiparous women increases with the number of births; some post-term pregnancies; and the expectant mother eats too much and does too little exercise. These are the causes of fetal macrosomia.

Ⅰ. Reasonable nutrition and moderate exercise.

Ⅱ. Expectant mothers with diabetes should detect the disease early and receive active treatment. Sugar screening should be performed between the 24th and 28th weeks of pregnancy. If any abnormality is found, another confirmatory test should be performed. Once gestational diabetes is diagnosed, diet control should be carried out under the guidance of a doctor. Some diabetic expectant mothers only need diet control to maintain blood sugar within the normal range. For diabetes that cannot be controlled by diet, hospitalization and treatment are required, and the doctor's orders must be strictly followed.

For expectant mothers who are obese before pregnancy, the total calorie intake should not be too high and they need to control their weight. The total weight gain during pregnancy is 12.5 kg. The energy provided by dietary fat should account for about 25% of the total dietary energy. At the same time, the intake of saturated fatty acids should be controlled and the intake of animal fat should be minimized. Ⅲ. Preventing post-term pregnancy.

2. Nursing

Postpartum assessment of maternal complications: such as hematoma, uterine atony, and excessive bleeding; neonatal resuscitation if the fetus requires it, assessment of clavicle fractures, assessment of brachial plexus injuries, etc.

Pregnant women who are likely to suffer from shoulder dystocia must read the above knowledge in detail about how to prevent shoulder dystocia. Some babies' fathers have broad shoulders and are relatively large, which may also cause shoulder dystocia. In other words, shoulder dystocia is related to genetics. If parents have broad shoulders, their children may also have broad shoulders, which can easily cause shoulder dystocia.