Shoulder Dystocia Injury: 3D Medical Animation

[yazzphoto]

That is so interesting. I never understood what happened 20 years ago when I had my 13lb son. This explains it so well.

[sayomsskiver]

13lb?? woow good on you.

[yorelet]

All these "methods" require doing painful things to the mother. there is 1 thing wrong with these images. mom is on her back. Try squatting, girls, or hands and knees - it looks uncannily like the "mcroberts position" but doesnt require someone pushing your leg up to somewhere it was never meant to go. oh yeah, and it employs GRAVITY. this is what happens when men think they can do women's work. we get cut, sliced, bent and broken. and somehow you've convinced us we should thank you for it.

[jianniestrong]

Lol great comment! Womens work

[Rotemetoot]

all comments should be a reply to this comment so it will stay on top...

I agree fully...

Maybe the weird position in which woman give birth is due to the fact that it looks more female more respectful?

[shhimconcentrating]

My daughter and I suffered a shoulder dystocia 6 years ago. She is left with Erbs palsy and Cerebral palsy. I had three surgeries to repair the damage done to me and needed a year of counselling for PTSD. This is a serious issue and I am so glad to see more information out there and people debating the issue. Thankyou.

[Spicelove1]

I understand your pain, I also know someone with a daughter who is 11 years old, that suffered from this and left her with cerebral palsy, but take heart - you're not alone

[sprinklefriend]

@shhimconcentrating i'll be praying for your daughter. and for you & your family as well.

[PlasticSurgeonOKC]

Fantastic video. Glad to see quality health information here on You Tube.

Thanks, keep it up.

Dr. Brou

[xXx44Emre44xXx]

1:26 .. ouch !

[shash1995]

there are things that you can never unsee!!

[mikkiduf]

yes, it means the baby is stuck (shoulder)

[baraJagoDu]

what does it mean ? it means that the baby is Stuck ? with the shoulders?

[Core404]

Is this why my shoulder hurts lol

[Iloveorliandwicked]

OUCH!

[GoldenoSkyo]

okay, this-is- AMAZING

thanks tons

[chunlita2000]

EXCELENT NOW I UNDERSTAD .

[eillaeeiram77]

ok so we all should know that the mother feels it all..but ever think what the baby feels when its being pushed/grabbed out

[crystal19831]

from a man who was once a baby ...... i felt nothing :)

poor mum though :(

[xmonke55]

ooow, poor baby

[lipreferiti]

wow

[benddownhoe]

whoa

[say2eimor]

wow a great demonstration through animation ...it seems like I'm able to help a mother on delivery bringing out her baby as safe as this bwahahahaha..

[ashleylombardi]

I had this when i was born. I didn't have eny damage though i was just really big so i got stuck with my sholder.

[helen69r]

omg the scissors part went right through me

[fafadotcom]

when u are giving birth you don't feel it!!!!

[SCgibbo]

OMG i cold never imagine how much it hurts to give a birth, even though it must be the most beatuful feeling a mother can have....painful lol

[sakitakono]

I had a great Dr. He informed me of this and other complications before the labor began. That way we could work together to bring my baby out unharmed and as healthy as could be.

[kobebryant0824]

Ouch!!!

[dancerhaven]

When I was born I broke my collar bone and came out purple and blue from no oxygen. They had to pin my arm in a sling.

[o0PinKFisH0o]

How is it now?

I assume it turned back to normal since baby bones are very flexible?

[trekkiegirl93]

Umm, it depends on the severity of the injury.

I had that happen to me at birth, and it was an un fixable injury, so I live with Erb's Palsy in my right arm/hand.

It's not that bad I would guess cause I grew up with it, but I do wish something could have or still could be done about it.

:P

Physical Therapy for life I guess.

XD

[lollinlolz]

My Friend Has That To !

X

[rnv09]

A very good video even a child could see this clip well done !

[didoupiaf]

thanks

[mainemura]

this happened to my 11 pounder. she now has complications from he birth due to lack of oxygen

[PrinceAngwards]

soo, a baby can be born with a shoulder problem, hey do u guys know why some babies come out purple, as if they were suficating inside a woman's belly

[Bee3nazz]

a baby can take pratice breaths in the womb, sometimes, they can thus swallow some amniotic fluid and begin breathing problems when they are born, also when a baby is born the mucus in the baby get absorbed and excreted but if the baby has dificulty doing this they may have breathing problems. but such babies should be monitored by the medical staff at hand

[Zaiahsma2003]

Actually it is quite normally for a child to swallow the amniotic fluid that is were the meconium comes from when the baby passes its first stool.

[KimLeeX]

wow this suck there can be all kinds of complication through out child birth.

[glasshaler]

Saying that its all cos the woman is lying down or due to the drugs is total crap. My second baby was a shoulder dystocia birth, and I was kneeling upright with no drugs.

[thelightison]

I can't see where anyone is saying that it is ALL because of maternal positioning - but you are right that this is absolutely not the case. This is where the distinction between 'true' and 'positional' comes in. And why midwives are so keen on women adopting upright birthing positions, as you did. The only thing that is improved by being on your back to birth is the doctor's (or midwife's) access ...

[legoheight]

My first son's birth was a shoulder dystocia birth.  He died as a result of his injuries.

[maharvey907]

legoheight I am so sorry. I've been the labor nurse at several shoulder dystocias. It is very scary for everyone involved. They've all turned out okay at the ones I have been at but you can easily see where it might not have if the midwife hadn't gotten in there and in one case had to do a lot of cutting of the perineum to get in there to maneuver the baby out. Us short nurses have to get up on the bed or on a stool to push down and do the suprapubic pressure. It has to be done quickly.

[marthae515]

I am very sorry for your loss.

[DarkPhantomMelody]

I am so very very sorry for your loss and to your son, may he rest in peace.

[indian838]

he died?

[ky3lee]

Same happend to me. My son died aswell.

[ivystrummer]

i have been doing some research as im due to have my 2nd daughter and i had shoulder dystocia with my first baby and apparently shoulder dystocia is very rare but in real life im not sure that is the case at all. im tempted to avoid all danger and push for a C-section but in NZ its extreamly difficult and a vaginal birth is always favoured and alot of the time forced beyond all safety.

[thelightison]

I'm sorry that you seem/are so worried about the birth of your child. True shoulder dystocia is rare, but positional dystocia where the cause is related to the mother's position ie. on her back is not uncommon. But it (pd)is easily remedied by adopting an upright birthing position ... as the baby is not truly 'stuck' in the pelvis, just needs you to maximise your pelvic outlet. Sadly, Caesarean section is not without its risks and so that is why good midwives really encourage vaginal birth.

[thelightison]

Continued ... I am in NZ too, and I know that vaginal birth is never ever 'forced beyond all safety'. Rest assured that your and your baby's safety is absolutely paramount. Please please talk to your midwife about your concerns. And ask her to refer you to some good sites that won't scare the bejeebers out of you unecessarily. With love and all best wishes for a safe and happy birth experience ...

[zenonlove07]

episiotomy??? no injury?? i don't think so...

[MediVisuals]

This animation is about shoulder dystocia and ways to prevent it and injury to the fetus. Episiotomy is one way of helping to prevent shoulder dystocia. The "No Injury" is in relevance to the fetus - not the mother.

[persiken]

what about the gaskin manoever?

[JamaicanCutie18]

this is exactly why woman werent meant to give birth laying down

there wouldnt be and cutting

pressing

or pulling

JUST GRAVITY

THINK ABOUT IT PPL!

[123satt]

Actually the cause of death is more probably to be due to CORD COMPRESSION. & by the way , episiotomy does not do any advantage in the case of the PASSAGES , it only gives you more SPACE for manipulation.

[bernardangus]

Exaclty episotomy does nothing to prevent shoulder dystocia.

And the actual cause of death would be the hypoxia, not from cord compression. But from the engorement of blood in the head.

Prevention, would be keeping the mother mobile upright and drug free.

[ladyspy84]

"ttyipee" You are trully correct in your opinoion and in mine and I am sure for many others. if this interests you do some research on this type of delivery in the late 1800s back then if they could not get the baby free and it was sure to die they would break the mothers pelvic bones or hips to free the baby. and most of the time is still turned out to be fatal. not just for the child but for the mother as well "sometimes"

[Charlymaumushi]

Thats crazy. i was unaware of this.... I'm only 21...lol

[boobookitty1973]

one of my sons had this happen during his delivery and i had to be cut alot and deep. worse part was he was dying so it had to be all dont quick. back then we didnt get pain meds like these days so we felt it ALL.even after his scary delivery i still had 2 more lol

[tifflohs]

A lot of injury and trauma could be avoided if we stopped giving birth on our backs (thanks Louis XIV)and stayed upright for birth- opening our pelvis 30% more and allowing our sacrum full range of movement.

[RockyMtnAspen]

I have had three children, 1st was 10'4 oz, the 2nd 11'8oz both had shoulder distocia, born at home and the midwives knew what they were doing. The 3rd was 10'4oz born at home with a doctor who did home births. That was the smoothest. It is important that the midwives be well trained. I was lucky that mine did. We also used chiropracters with the kids throughout their young lives, this has helped immensely.

[cradlingcradling]

doctors are not trained to do these maneuvers as well as midwifes. they train (on the job) without theory. Please do not let a resident,especially a first year deliver your baby.

[Midwifex24]

Just to put a few things straight... the head of the fetus isn't 'pulled upon', we use downward traction, which is sufficient in a normal vaginal delivery. If there is shoulder dystocia, this becomes apparent very quickly, and we follow set, evidence based protocol (maneouvres) for safe delivery of the baby. Some injuries aren't preventable... but it's better than death (if after seven minutes the anterior shoulder is still impacted, then severe fetal compromise is likely).

[ttyipee]

Thats all very well for you to say. But you don't have to live with a bad decision made by the doctor or midwife who delivered you everyday. I understand what you ae saying about standard procedure and what should happen but I think its very unfair of you to dismiss a life-long injury by saying "it's better than death"

[ttyipee]

I think its very unfair of you to dismiss a lifelong injury by saying "it's better than death"

And also, not all doctors/midwives follow the set protocol you mention. Most of them do but a few don't and that shouldn't be covered up because shoulder dystocia/brachial plexus injuries can be quite severe and can affect a person in everyday life. This is a fact that a lot of people in the medical profession seem to ignore.

[dcddjc]

incredible - how complicated for a mama and how easy for Docs/nurses is they are good, but if they are not that good they can damage a lot.

Thank you for posting.

[sharilee1]

I had a child with a brachial plexus injury due to shoulder dystocia. My daughter was 10lbs on the dot and I should never have delivered her naturally. She just had her 10th birthday and I am blessed her injury has repaired itself.

[shelliesv]

My daughter was also born with this injury. I cried terribly the first year because my baby had a paralyzed arm. My doctor did not try a single maneuver to attempt a safe delivery. A substantial nerve injury is permanent and not repairable. She's mostly recovered now at 4.5 years old after lots of physical therapy, but she has a sloped shoulder and can not fully turn her palm up or clap behind her back. IT makes me very sad because this injury is PREVENTABLE! Gaskins, McRoberts, & more

[secorio]

"My doctor did not try a single maneuver to attempt a safe delivery." i´m a doctor and you shold be careful about what you write... in most cases shouder dystocia can not be preventable, and some maneuvers cannot be done cause time is crucial... well you shoud do a medical school and a bet that after that you would not write such stupid thing.

[starzysky]

It is possible that her doctor used poor technique or "did not try a single maneuver" as the mom suggested. It's not a "stupid thing" to write.

The "STUPID THING" to write is that "some maneuvers cannot be done because time is crucial" - this is ridiculous. A shoulder dystocia becomes apparent fairly quickly, and the baby has a few minutes before it will become dangerously hypoxic. Several maneuvers could be attempted by a skilled clinican in this time.

[geoffleonard]

you shoulda sued their asses 4 breakin ur babies arm!

[abears5]

This also happened to my baby, Yes she did hurt. She cried when anyone touched her little shoulder. It took her 4 months before she could even move her shoulder. She has been in therapy since she was 1 month old. She is now 2 1/2 she still has problems with her arm and will for the rest of her life.

[pinkstarangel07]

This happened to me and anyone who said this doesn't hurt the baby is wrong my daughter was very sore and hated anyone touching her for a whole week and was in special care and had to be tube fed.  She also had to have pysio for 6 months but am glad to say she has recovered from the whole trauma

[TheRantingMidwife]

do you mind if I ask what position you were in when this happened?

[craziestjetli2]

This is one scary process! No wonder men faint!

[gargett161]

hello i am a student midwife, babies do not feel pain as such but are uncomfortable. Babies are more tougher then you think !!!

[puplvrhere]

doesnt the baby have to strain its neck when the docs pull hard like dat or do they just endure the pain

do they feel that some docs say they do some say they dont SOMEBODY WHO KNOWS WHAT THEIR TALKING ABOUT PLEASE TELL ME lol

[faerylandmom]

Too bad they don't show the easiest way to dislodge a baby...having Mom get on her hands and knees usually is all that's needed, and doesn't cause any injury to the baby.

[SumnerRain]

I was totally shocked at the lack of example of the Gaskin maneuver, which is what you are talking about, hands and knees to open up the pelvis 2 more inches.

[MonkiiAngel]

Yikes..

[WonderWomanUS]

This is really good. I wish I had had this as a medical student. It's so easy to see how the infant would have a brachial plexus injury. It's amazing we can pull as hard as we do to evacuate the fetus from the uterus

[aurazeB]

pulling as hard as you do???

this really worries me. lol

[SandiDinsdale]

you might consider practicing water birthing everything flows with much more ease, so much less pain, & is warm weightless nurturing & supportive. No comparison to a hopsital & the alopathic approach, now that's scary! Run away... Drugs, scalpals, needles, too many strangers in the room, too much shuffling around, strange environment, superbug germs the list goes on. Water birthing & Doulas are the wave of the future & the past as it turns out! Check it out & see 4 yourself. Some good ones on YT

[Tomboy169]

....Yeah, i'm not gonna have kids. O.O

[JaneTennison]

ME NEITHER...

[xxsexyblazinxx]

what is Erb's Palsy

[JadeAerisPrincess]

That looked painful for the baby when it was getting its head pulled.

[Matthieus202]

yes it does.

[faerylandmom]

That's because it IS painful when they pull.

[istotatora84]

There's a tried method to prevent shoulder dystocia - the Gaskin Maneuver. Originally a Mayan technique, it involves birth on hands and knees.

[yexie]

i'm currently pregnant, due in early may and in a lot of hospitals here they don't really support giving birth laying on your back anymore unless is medically obligatory. good thing :)

[amethyst1717]

i agree, they teach us not to yank on the head in med school.

[thehumor]

so does the baby dies then?

[reyna247]

i know right????????????????

[BlackIceCaps]

How?

They preformed an Episiotomy so they could get the baby out.

[MissNightshade]

No the babies dont die. When this happens Erb's Palsy (Erb-Duchenne Palsy, Brachial plexus paralysis)are usually the result.

[denisecnm]

Babies don't USUALLY die, but they CAN. A baby died from shoulder dystocia at our hospital, and I know of one other case where the baby died. They can also be brain damaged, which is probably even more common than death. Shoulder dystocia is a true obstetrical emergency.

[mhadelyneromero]

excelente!!!!

[amandama829]

It's so good babies don't remember the pain of being born...ouch!

[hnicky]

nothing in comparison to what we go thru

[kim130891]

Im still in secondary school but im training to be a midwife in the future =]

[thelightison]

Good for you! You go girl!

[erikaspider]

Cara, todos os vídeos que vi os médicos puxavam o pescoço.. que evolução!! Quando tiver meu bebÊ vou levar pro médico ver.. hauhau xD

[knicker338]

Ouch !

[11rsita11]

......o si ...k weno!!!

muy interesante!!!!

[CrissyMichelle22]

owe poor baby

thats

so

sad

[jmj0909]

thanks this is a very good info

[Teddyfinch]

they actually had to break my husband's collarbone to get him out. he still suffers today.

[yepalzaz]

shoulder dystocia- causes: big baby, DM, anencephaly, post maturity.

[doglin82]

isnt a C section a lot easier in this case?

[pellabella]

i would think so but its way too late at this point!

[clathus03]

NO! A c-section is a major abdominal surgery, while a shoulder dystocia can be fixed if your midwife or doctor knows the procedure.

[morrissey1974]

How bizarre: the most easy and successful remedy for shoulder dystocia wasnt represented:the Gaskin Maneuver! I had shoulder & hip dystocia with my 4th at my homebirth (9lb8oz) & all I did was flip onto my hands&knees (Gaskin Maneuver) and he was born without me needing any stitches! It's what they DON'T teach medical students that is scary.If your obgyn is unaware of the Gaskin maneuver, be afraid!

[DocMirza]

Hi, I was interested by your comment....can you say precisely how the Gaskin manoeuvre frees the child's trapped anterior shoulder?

[pappasgirl283]

The pelvis is not a solid ring of bone--it has ligaments that connect the bones. These ligaments are a lot looser in pregnant women due to the relaxin. It is thought that any major maternal movement can help the bones to move and stretch, allowing the child's shoulder to slip free; and it helps the baby to rotate a bit. Mrs. Gaskin noted a birth in which the mom was already on her hands and knees, and sd occurred, so they had the mom get on her back, which resolved the dystocia.

[thelightison]

I think the overwhelming message is that changing the mother's position can change the size of the pelvic outlet. Whether from from front to back or back to front.

It concerns me that most of these birth vids are of women on their backs, and I wonder if this represents a real shoulder distocia rather than simply an OB generated pelvic outlet shrinker! Not bagging OB's, but we all know that the ideal position to birth isn't sitting on your butt!

[vpayne123]

Normally just the movement alone, the rotation of the pelvis, but it could be argued that even if this does not procede to delivery it may be easier for the enter manoeuvres??

[doberman4lyfe]

dose that hurt the baby

[aleeyssa]

excellent video ... much easier to understand the proceedures in image as opposed to written on a sheet of paper .. thanks x

[yuhchiau]

thanks for that video!!!! congratulation....so nice....good idea in uploading it...

[jhgfh5815]

poor baby, it got crushed

[naylawow]

nice one

[lillith13]

Yeah, see a midwife instead so that when a complication does arise she can comfort you with aromatherapy!

[clathus03]

excuse me! Midwifes do much more than just aromatherapy.

[lillith13]

Whiffyfarts: It doesnt matter how many nice ways a midwife sees things if she does if at the end of the day she does not have the medical training, access to monitors, and ability to perform a c-section if something goes wrong. Unfortunately expertise in voodoo and aromatherapy has not been proven to reduce morbidity and mortality.

[SilkeJulia]

You are as dumb as a post.

A midwife DOES have the medical training.

After all it is a job that requires training.

She learns how to avoid a shoulder dystocia and how to deal with it in case it happens.

If the shoulders get stuck it's no use to have acess to monitors and be able to perform a c-section - monitoring the baby won't tell you how to release the shoulders and by this state you can't push the baby back without badly injuring it!

[kymber86]

voodoo ane aromatherapy? lol, obviously you are uneducated as to what a midwife is and what they do.

[hpnvideo]

Apparently, neither has much of what we, as a country, have been doing in hospitals. US ranks 2nd worst in the developed world.

[carli911]

Poor little baby.

[Markusqwertyuiop]

O.O

OUCH!

[whiffyfartsgalore]

Excellent.  Thank you

[jbean0]

...Okay, I'm 4 months pregnant and have already been bombarded with the infinate amount of things that could go wrong with my baby and now I have to worry about crappy doctors!? The stress of it all ;-;

[whiffyfartsgalore]

See a midwfe instead then... the difference is that midwife sees birth as normal unless something goes wrong... the doctor sees birth as an accident waiting to happen unless it happens to be normal.

[jns124]

Wow, that play on semantics didn't hold much meaning for me. There also seems to be an assumption that there are no "crappy" midwives out there. Seems odd...

[misssouad212]

verry nice

[varmeer2]

Not having any kid

[ed3n]

Maybe if the doctor didn't yank on the baby's head, his shoulder wouldn't get hurt!!

[sarahben2]

Superior illustrations and just what I need for my case. Excellent!

[gatorfish1]

Excellent informational video. Great for malpractice litigation purposes