 What's up you guys this is Donna welcome back to my channel so Quite a few of my friends and some of my followers have been asking me questions about this whole Decapitation situation that has happened in Atlanta, and if you haven't heard about it, you should go look it up. It's very Sad but interesting case and so I'm gonna be talking about the the underlying issue or the underlying problem that caused this This issue which is a shoulder dystocia. So if you don't know about that this video is for you It's gonna give you a little bit more information on what that is and then how we typically treat it an OB but if you are dealing with any like pregnancy loss or loss in general of this video could be triggering because it does talk about death and pregnancy loss so just giving you that little trigger warning, but Otherwise if you're interested in hearing more about shoulder dystocias and the complications that come from it this video is for you So let's get into the video right now What's up you guys is that I'm welcome back to my channel. So as you know, like I've transitioned into OB So I've been an OB PA for over a year now Yeah, a little over a year now. So it's it's actually been going great. I love OB It's something that I do as an OB PA. I do a lot of C-sections And I am in on like like being aware of anything any complications that may happen because usually complications mean now We have to go emergently to have a surgery So there is a case happening right now in Atlanta where there's a couple who unfortunately lost their child Due to a decapitation is what they said The baby ultimately had a shoulder dystocia. They said that Um, there were like the obstetrician mismanaged the shoulder dystocia causing a decapitation they then had to go have a C-section and You know, they were not aware that decapitation happened However, they found out when it was time for the funeral and so Lots of things to unpack here lots of stuff to talk about but at the same time like, you know, like I I don't know all of the details of everything that happened and and none of us really do Obviously and so I'm not trying to pass judgment on anyone or anything like that I'm just going to give you guys the facts of what a shoulder dystocia is And then essentially kind of like what we do from an OB standpoint to kind of like Comebacks like or deal with so shoulder dystocias So a shoulder dystocia is a condition that happens when one or both of your baby's shoulders get stuck in A vaginal delivery and it's usually stuck on mom's like pubic bone And so like you're delivering the head like I know this looks a little weird But you're delivering the head out of the baby kind of coming this way And then the shoulder gets stuck on the anterior part of mom's pubic bone And because of that, uh, baby gets stuck because you cannot come like the shoulder is stuck in there So baby cannot be pulled out Obviously, uh, this is a medical emergency because there's so many things that can go wrong I mean just in general and birth In pregnancy, there are so many things that can go wrong. And so it's a miracle when a child is born However, a shoulder dystocia is a very very Very important thing to be aware of because it is a medical emergency Okay, um when a shoulder dystocia is kind of like suspected or is is happening You bring like everybody in the room your anesthesia nursing your providers are in the room Because sometimes it may be a midwife that is managing the patient And so they'll call in their doctor assist They're usually maneuvers that can be done Like if I don't know if anybody's ever heard of a McRoberts maneuver But that's usually the typical go-to maneuver that can be done to try and help release the shoulder Now a shoulder dystocia like you cannot predict it, right? Like there's there's no rhyme or reason to it I've seen shoulder dystocias in like little itty bitty teeny Weensey babies I've seen shoulder dystocias in large babies that have like macrosomia because of gestational diabetes Which causes them to grow larger Then they would have if their mom did not have gestational diabetes because they're just feeding on that sugar So shoulder dystocias can happen in large women and small women It's really about the size of your pelvis And and how baby is kind of coming through the canal and there's really no way of predicting it Obviously if the patient may have like gdm or like like which is like gestational diabetes Then you know you're on higher alert because The the thought is that their baby will obviously be larger and then the risk of shoulder dystocia is higher I know it's not like fetal macrosomia is not It's not like an indication for like a schedule c-section However, I know like warmer providers are kind of like pushing that because they don't want these complications that can happen If you trial a vaginal delivery and then you end up with a shoulder dystocia Okay Now a shoulder dystocia can cause problems not only for baby, but also for mom um You can have like pubic synthesis dystasis where the the area in your pubic bone widens more than it should you can have like paralysis of your like sciatic nerve or a Perineal nerve like the nerves in your legs in general Which then causes you to have some paralysis in um that leg that that nerve was um Was essentially kind of like compressed on and so those things can happen in mom But when it comes to baby if you like just think about it the neck is being stretched And the shoulder is being stretched but pulled you can have like all the nerves here, which is like your brachial plexus So if you know Your anatomy like nerves run from in your neck like down into your shoulder And there's like your brachial plexus right there Which innervates lots of nerves in your arms and then some nerves like that go down into your thorax Then baby can have like a brachial plexus palsy where their their arm they're not able to move that arm or or kind of like Do any maneuvers with that arm because of that paralysis of that that brachial plexus and it can be transient But it can be something that lasts a little bit longer and baby's gonna have to have Lots of physical therapy as they continue to grow Obviously you can have like a clavicle fracture You can Have compression of the umbilical cord in baby, which can then cause Affixiation of baby So lots of things that can go on and then you know, I've seen some cases where it talks about like the decapitation Obviously, I've never seen that in my practice But I have seen that there are some cases where it says that due to a shoulder to socia There they heard a pop and you know, they had to have a c-section emergence emergently and Baby's head was delivered via c-section Along with body and so like these are things that are very very traumatic in in nature and obviously I want to be very mindful of that but I don't want you all to be like afraid or scared of what can happen with a vaginal Delivery and that that you're more so pushing towards a c-section because there are so many complications That can happen from c-sections for both baby and mom as well You know with infection and things like that And so just want you guys to have all the information Especially my new moms out there like or new moms to be because I know like I was super nervous and scared When I was gonna have a vaginal delivery because I was like, man like I'm about to push a whole baby A whole human being out of my vagina like this is crazy And it is crazy, but it is doable But you guys need to be well aware of all of the complications that can happen In your vaginal delivery in pregnancy in your delivery in general And you need to be able to advocate for yourselves know that you as a patient have a voice And obviously like, you know, you want to be heard But if you don't feel like you're being heard make sure that you have somebody in there that can also advocate for you Because that is very important that you're kind of in like a calm zen space and you feel heard when you are in labor because That can also affect not only you but your unborn child. Okay So hopefully this was some like good information for you You guys can always like just google shoulder dystocia if you have access to up-to-date definitely go to that But I want you all to be aware of everything Definitely keep that family in prayer because it is a traumatic situation anybody else that has dealt with any type of pregnancy loss All right, if you have any other questions for me, leave them in the comment section below Don't forget to like and subscribe follow me on instagram and don p8 and on instagram at get that c university Thank you guys so much for watching. I will talk to you guys next time