0% found this document useful (0 votes)
54 views2 pages

Mnemonic CETAK

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1/ 2

Shoulder Dystocia

SHOULDER DYSTOCIA MNEMONIC


International

Ask for help


Lift - the buttocks
- the legs
} McRoberts Maneuver
Anterior disimpaction
- rotate to oblique
- suprapubic pressure
Rotate the posterior shoulder - Woods maneuver
Manual removal of the posterior arm
Episiotomy consider
Roll over
S Mnemonic
Shoulder
POST Dystocia
PARTUM HEMORRHAGE
International MNEMONIC
Mnemonic
H Help. Ask for Help
A Assess (vital sign, blood loss) and resucitate
Establish aetilogy, ensure aviabioity of blood, acbolic Initial Management
E
(oxytocin, ergometrine, or syntometrine bolus IV/IM)
M Massage uterus
Oxytocin infusion, ergometrine bolus IV/IM, prostaglandins
O Medical Treatment
per rectal
Shift to the theatre. Exclude retain products and trauma,
S Conservative Non
bimanual compression, abdominal aorta compression
Surgical Management
T Tamponade ballon and uterine packing
A Apply compression uterus, B-Lynch technique or modified
Systemic pelvic devascularization : uterine, ovarian, quadriple,
S Conservative Surgical
internal iliaca, Lasso-Budiman technique
Management
Interventional radiologist, if appropriate, uterine artery
I
embolization
Last Effort- Non -
S Subtotal/total hysterectomy Conservative Surgical
Management

You might also like