Curriculum of Obstetrics
TOPIC 30
SHOULDER PRESENTATION
RATIONALE
The incidence of shoulder presentation is about 1 in every 300 deliveries. In general, the onset of active labor in a woman with shoulder presentation is an indication for cesarean section. Physicians attend about 30 percent of deliveries in Egypt. Accordingly, the knowledge and skills of graduates should be updated so that they are able to diagnose possible shoulder presentation as early as possible and refer the cases to the nearest general hospital, where cesarean section should be done. Appropriate management of shoulder presentation can achieve a measurable reduction in maternal and fetal morbidity and mortality.
GOALS
l Recognize the causes, effects, complications, and management of shoulder presentation
l Ensure that graduates can competently diagnose and manage shoulder presentation in order to reduce maternal and fetal mortality and morbidity
LEARNING OBJECTIVES
By the end of this course, the student will be able to:
l List the causes of shoulder presentation
l State how to diagnose shoulder presentation
l Describe the complications and diagnosis of neglected shoulder
l State the management of shoulder and neglected shoulder presentation
l Diagnose shoulder presentation in the antenatal clinic and obstetric wards
CONTENT
l Definition of shoulder presentation
l Incidence of shoulder presentation
l Causes of shoulder presentation
l Diagnosis of shoulder presentation
l Management of shoulder presentation
l Prognosis and complications of neglected shoulder presentation
