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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Previous shoulder dystocia, future risk?

1 reply

tisonlymeagain · 03/07/2019 11:39

I am 9 weeks pregnant now, and have had my booking appointment. The mw I saw classed me as low risk (despite being almost 40, BMI over 30, previous pre-eclampsia and shoulder dystocia) and said there was nothing to worry about re the possibility of future shoulder dystocia because it can be down to baby's position rather than size etc. (He wasn't huge, but I am small).

However, I have read things to the opposite of this and still can't help worrying about this.

The RCOG says; Shoulder dystocia usually occurs unexpectedly during childbirth and most of the time it is not possible to predict when it will happen. However, it is more likely to occur if:
• you have had shoulder dystocia before
• you have diabetes
• your body mass index (BMI) is 30 or more
• your labour is induced
• you have a long labour
• you have an assisted vaginal birth (forceps or ventouse)

If your baby’s birth was complicated by shoulder dystocia, there is an increased risk of shoulder dystocia in future pregnancies; around one in ten women will have shoulder dystocia again in a future pregnancy. In view of this, your obstetrician or midwife will discuss your options for next time taking into account your individual circumstances and preferences. You may wish to consider a vaginal delivery if it was easy to release your baby’s shoulders, your baby was fine and you have no other risk factors. If it was difficult to release your baby’s shoulders, your baby had any injuries or the experience has affected you and your family, you may wish to consider a planned caesarean section.

The midwife completely disregarded it as not even being an issue.

Does anyone have any experience of shoulder dystocia and all being fine in a subsequent birth (or otherwise...) and were you offered any extra growth scans to check on size before your due date?

OP posts:
lovebeingmum9 · 03/07/2019 19:34

Hi op I experienced a horrific shoulder dystocia with my 2nd labour,had no growth scans and was induced because I was 12 days overdue,baby was born by assisted forceps delivery with no pain relief (worst pain of my life) but baby weighed 10lb 3oz.....In my following pregnancy I had consultant appointments and we agreed on growth scans and induction on due date, they tried to class me as low risk too but I would correct the midwifes and say well it was hardly low risk and they would note that I'd had previous shoulder dystocia....anyway baby was 3 days early,I had an epidural to ease my nerves and the pain and just tried different positions ,birth ball and gave birth on all fours as was recommended...he weighed 8lb 6oz and a much better birthing experience.....and am currently 18wks pregnant with our 4th. still scared in case it happens again but will have a consultation and request to be induced on due date to reduce risk of big baby but just wanted you to know you can go on to have a subsequent healthy labour after a shoulder dystocia. Smile

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