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delivery, shoulder dystocia

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  #11 (permalink)  
Old 04-May-2008, 21:44
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Sorry to hear about this difficult birth. A valuable experience for you, but probably not one you would choose to have so early in your training.

Originally Posted by Josie View Post
It can be quite a shock cant it? as I always do, Id suggest a reflection, it helps get out how you feel
Yes, I would agree with this. (Josie, you are very wise.) A reflection is important, not just for you to put down on paper how you feel, but could also be an important reference for you in the future. I don't wish to alarm you, but if the baby is showing signs of possible nerve damage, following the Shoulder Dystocia, there is a possibility that the parents could put in a complaint, or even sue, if the baby carries on having problems. As a student you may be asked to write a witness statement about what you observed during the delivery - who was there; how long was the head born before the midwife called for help; who attended; where were people positioned in the room; what proceedures were used to assist delivery of the shoulders; how much force was used etc.

I'd strongly recommend that you write down all that you remember now, whilst it's still fresh in your memory. File your notes away somewhere and you may never need to look at them again. But it you do, it will be so much easier to write a statement from these notes than simply relying on your memory. I have had to write such a statement, when I answered an emergency buzzer and it was a bad Shoulder Dystocia. The complaint was filed when the child was 5 years old.

I hope I have not alarmed you by writing this. Sadly, this is a reality of midwifery in the 21st century.
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Old 04-May-2008, 21:52
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wow Shoshana, what sobering but crucial advice!
Considering records are stored for 25 years, it really could happen at anytime couldn't it?!
I've been so slack over my reflective journal, and have had my fair share of things going a bit pear shaped, it has to be said!
I hereby resolve to improve myself and my personal record keeping...mmmm, off to the shop for one of these i think!
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Old 04-May-2008, 21:55
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Yes I did Josie,

The head was visible with each push, but then kept slipping back, not making progress as you would expect. I wasn't sure why, and Shoulder Dystocia was the last thing I thought it would be.
I was convinced that it would end up being an instrumental delivery at best, or a c/section at worst, and was hoping I was wrong.

It was a real shock once I had realised what was happening, and I felt that whatever I tried to do, or wherever I stood I was in the way of someone. They all assured me later that wasn't the case, and I suppose the fact I had never experienced it before made it worse as I had no idea what to expect.

Yes, I think it will help to do a reflection, and I will do that.

Originally Posted by Josie View Post
I had a similar experience in Year 1, did you instinctively know something wasnt right but you were not sure what? Thats how I felt, the head took a while to be delivered and then I was asked to pull the bell and was given a leg!

It can be quite a shock cant it? as I always do, Id suggest a reflection, it helps get out how you feel
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Old 04-May-2008, 22:08
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Thanks Shoshana,

It was a very valuable experience, and to be honest to have it happen so early in my training, whist not ideal by any means, I feel I can learn from it, I know what to expect next time, and hopefully I will be more of a help than a hinderance, which is what I felt yesterday.

My mentor was saying something along those same lines yesterday, for herself though not for me. I apprecaite your advice and I will write down everything I remember, although I am not sure how many of the 'little detials' I can actually remember as everything happened so fast, but I know anything is a lot better than nothing.

Once I start writing it down, it might come to mind easier hopefully. You haven't alarmed me, I really am grateful for your advice.

Originally Posted by Shoshana View Post
Sorry to hear about this difficult birth. A valuable experience for you, but probably not one you would choose to have so early in your training.



Yes, I would agree with this. (Josie, you are very wise.) A reflection is important, not just for you to put down on paper how you feel, but could also be an important reference for you in the future. I don't wish to alarm you, but if the baby is showing signs of possible nerve damage, following the Shoulder Dystocia, there is a possibility that the parents could put in a complaint, or even sue, if the baby carries on having problems. As a student you may be asked to write a witness statement about what you observed during the delivery - who was there; how long was the head born before the midwife called for help; who attended; where were people positioned in the room; what proceedures were used to assist delivery of the shoulders; how much force was used etc.

I'd strongly recommend that you write down all that you remember now, whilst it's still fresh in your memory. File your notes away somewhere and you may never need to look at them again. But it you do, it will be so much easier to write a statement from these notes than simply relying on your memory. I have had to write such a statement, when I answered an emergency buzzer and it was a bad Shoulder Dystocia. The complaint was filed when the child was 5 years old.

I hope I have not alarmed you by writing this. Sadly, this is a reality of midwifery in the 21st century.
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Old 04-May-2008, 22:17
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Glad my thoughts are helpful to you. It's good to share and learn from each other.
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Old 04-May-2008, 22:28
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They are very helpful indeed, and I am so grateful for them. It is good to share and learn from each other as I feel we all have something to contribute whatever stage of our journey we are at.

Originally Posted by Shoshana View Post
Glad my thoughts are helpful to you. It's good to share and learn from each other.
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