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Shoulder Dystocia Part II: Maneuvers and Management (1.5 credit Monograph)

Hours: 1.50

Target Audience: Obstetricians, family practice physicians, residents, and physician assistants as applicable.

Original Release Date: June 15, 2017
Review Date: 
Expiration Date: June 15, 2020

Description: In five minutes or less, a healthy fetus may become acidotic from shoulder dystocia (SD). Updates and additional research outlined in ACOG’s Practice Bulletin #178 offer a new approach to managing SD events while improving patient safety. Organized and standardized care limits morbidity and mortality. Evidence shows that perinatal practitioners improve outcomes with preparedness, teamwork, and simulation training. This is Part II of a two part series and outlines non-invasive and invasive interventions that may be performed by a nurse or physician during a SD event; a multidisciplinary approach is highlighted. Risk reduction recommendations and strategies are discussed.

Learning Objectives: Upon completion, participants should be able to:

  1. Differentiate between normal fetal cardinal movements at delivery and clinical triggers for SD.
  2. Adopt and apply the ACOG guidelines and updates into your clinical practice by using least invasive maneuvers first during SD events.
  3. Compare SD risk management solutions to your individual clinical practice and examine areas for bias and improvement.

Learning Assessment: There will be a posttest for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Estimated time to complete activity: 90 minutes

CME Information - Read

Residents will earn a certificate of completion. Physicians will earn CME credit.

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 1.5


State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

CME Disclosure Policy: LAMMICO requires authors, planners, speakers, faculty and all those who influence the content of a CME activity to disclose any financial relationships they have with commercial interests that are relevant to the CME activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure: The authors, editors and planning committee members for this activity have no relevant financial relationships to disclose.


Dr. Kenneth Brown - Read Bio

Carol A. Curran RNC, MS, OGNP - Read Bio

Managing Editors: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management and Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Risk Management Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2017

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

Member and Subscriber Access
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This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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