From the US News and world Report, we now have the best Children's Hospitals in America. The top 4 were not really a surprise, they were in Philadelphia, Boston, Baltimore and Denver.
It's easier to just read the article at their website.
Here's the link: USNews.com
This is an abstract discussing Shoulder Dystocia that I found on the NIH website. I bolded the text below to make a point which is simple.
That is exactly why we have medical professionals. We want them to be "familiar with the maneuvers" ... and "be prepared to institute" them when they are needed.
This is where we see malpractice cases arise. It is often when communication in the delivery room breaks down, warning signs are missed or people aren't familiar enough with the maneuvers.
Shoulder dystocia is one of the most dreaded complications of vaginal delivery encountered by the obstetrician. Although risk factors for shoulder dystocia exist, approximately 50% of cases do not demonstrate the classic predisposing signs. Obstetricians can help patients decrease their risk for fetal macrosomia by frequent attention to weight gain, nutrition, and exercise during pregnancy and by aggressive management of diabetes. All obstetricians must be familiar with the maneuvers used to effect delivery of impacted shoulders and must be prepared to institute these maneuvers immediately in a crisis situation.
(emphasis added)
Source: NIH website
My previous Shoulder Dystocia and Erb's Palsy post
If you're looking for resources...well I just found a bunch that you could spend several hours wading through and reading.
First here is an image from the page showing positioning during labor that can lead to a brachial plexus injury. Image is from http://www.shoulderdystociainfo.com/whatis.htm
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I'm going to dig around that website a bit more, but the information there looks really solid. So again if you're looking for a place to start your erbs palsy or shoulder dystocia research go check it out.
Also here is a previous post we out out showing a video (medical illustration) of shoulder dystocia.
Here is a link to a video medical illustration. It is a video just like the ones you might see used during the course of a medical malpractice lawsuit or case. It would be used to present a visual representation of what happened during the birth that might have caused a shoulder dystocia injury. Often juries find these videos helpful in understanding what happened.
Below is a link to the video.
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