Obstetrics & Gynaecology
Shoulder Dystocia
Recognition and structured management of shoulder dystocia using the HELPERR mnemonic
Source: RCOG GTG 42 2012
Step 1 of ~8
warning
Shoulder Dystocia
Shoulder dystocia: failure of fetal shoulders to deliver spontaneously after head delivery, requiring additional manoeuvres. Incidence 0.5–0.7%. Risk factors: macrosomia, maternal diabetes, previous shoulder dystocia, prolonged second stage. Call for help IMMEDIATELY.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Methotrexate (Ectopic) · Antimetabolite (Ectopic Pregnancy Management)
- Vitamin E (Tocopherol — Topical Scar Management) · Topical Nutritional / Scar Management
- Silicone Gel / Sheeting (Scar Management) · Medical Device / Topical Scar Treatment
Pathways
- Spinal Anaesthesia Hypotension Management · AAGBI; ASA
- Pre-Eclampsia / Eclampsia in ED · NICE NG133; RCOG Green-top 10A
- Suspected Ectopic Pregnancy · NICE NG126; RCOG Green-top 21
- Polycystic Ovary Syndrome (PCOS) · International PCOS Guideline 2023; NICE CKS
- Pre-eclampsia Management · NICE NG133 2019
- Ectopic Pregnancy · NICE CG154 / RCOG GTG 21
Decision support only. Always apply local guidelines and clinical judgement.