What is the appropriate mode of delivery after a previous shoulder dystocia?
The rate of SD in women who have had a previous SD has been reported to be 10 times higher than the rate in the general population.There is a reported recurrence rate of SD of between 1% and 25%.May be an underestimate due to selection bias,as CS may...
Does induction of labour prevent shoulder dystocia?
Early IOL for women with suspected fetal macrosomia,who do not have gestational diabetes,does not improve either maternal or fetal outcome.(Evid level 4) In women with gestational diabetes, the incidence of SD is reduced with early IOL.(Evid level 2+) The NICE diabetes guideline recommends that pregnant women with diabetes who...
What dose Ketorolac?
Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial Motov, Sergey et al. Annals of Emergency Medicine 2016 Dec. Study Design: N = 240, 18-65 years Randomised to receive 10mg, 15mg, 30mg IV ketorolac as single dose (double blinded)...