To Determine the Frequency of Shoulder Dystocia among Patients Delivering in Moula Bakhsh, DHQ Teaching Hospital, Sargodha

Abstract

Background: A complication of cephalic vaginal deliveries in which fetal shoulders don’t deliver after the head delivered is known as Shoulder dystocia (SD) also is explained as a delivery that demands additional obstetric maneuvers to release the shoulders when gentle downward traction has failed. It usually happens when anterior shoulder impacts under the maternal pubic symphysis. This is an unpredictable condition but certain patients are at high risk of having shoulder dystocia. Aim: To determine the frequency of shoulder dystocia among patients delivering in tertiary care hospital. Study Design: Descriptive case series. Setting: Department of Obstetrics & Gynecology, Govt. Moula Baksh, DHQ Teaching Hospital Sargodha. Duration of study: 6 months from 10 September 2016 to 09 March 2017. Methods: Total 387 females fulfilling selection criteria were enrolled for this study. Informed consent was taken, demographics data was noted. All the patients who had shoulder dystocia were categorized and data was entered in SPSS version 20. Results: In our study patients having mean age 29.77 with S.D 7.04, Range from 15 to 45 years. Patients having mean gestational age of 38.74 with S.D 1.94. Range from 37 to 42 weeks. The mean BMI of the patients was 27.91 S.D 3.98 with a range from 22 to 45 BMI, and the mean parity of the patients was 2.98 almost 3 and S.D 1.07. It was seen that, out of 387 women 17 (4.4%) women showed the Shoulder Dystocia Conclusion: This data on the information regarding shoulder dystocia and the risk factors associated with it in the local population in our region might helpful for the obstetric care providers for consultation to the patients and to prepare the guidelines to decrease the risk of shoulder dystocia.