Shoulder dystocia charting

The main things to chart are the length of the dystocia (time between delivery of head and delivery of the body) and maneuvers utilized to relieve the dystocia (such as McRoberts, Woods-Corkscrew, suprapubic pressure, hands-knees position, zaphanelli, etc.), length of time each maneuver applied, effectivness, and of course the condition of the infant after delivery. You would want to be sure to notify the pediatrician, and watch for any signs of fx clavicle or brachial plexis injury.
Hope this helps a little.

Zaphanelli (or Xaphinelli or something like that) is a rarely used maneuver in which the shoulder dystocia is so severe that no other maneuvers work, you push the head back in and do a c-section. I have seen it done 3 times in my 8 years, once the baby was breech and we had head entrapment and pushed the body back in. Not pleasant!!!!!!!

I also am surprised at the seeming reluctance of many providers at my facility to cut an episiotomy during a dystocia.

Do you mean for after McRoberts & suprapubic pressure - like for corkscrew & the other more invasive manuevers? Doesn't seem like it would help during the McRoberts/suprapubic steps. Or am I wrong?

My last was a shoulder dystocia baby and they did McRoberts & suprapubic, no episiotomy needed (room for the baby wasn't the problem- it was only that his shoulder was stuck of course & he came right out fine with suprapubic pressure, and the doc didn't need extra room for the early maneuvers).

So I was just curious about more details on how or if episiotomy relates to the McRoberts/suprapubic/non invasive measures. And I wonder why they would be reluctant? Dystocia always sounds like such a grave situation that I'd think they'd immedidately do anything that would help???

About what % of the time do you all think your dystocias necessitate maneuvers beyond McRoberts/suprapubic pressure?

Just trying to learn, please ignore if I'm being pesty