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CC BY-NC-ND 4.0 · AJP Rep 2018; 08(04): e247-e250
DOI: 10.1055/s-0038-1675350
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Introduction of Posterior Axilla Sling Traction in Simulated Shoulder Dystocia

Julie R. Whittington
1   Division of MFM, Department of OB/GYN, Naval Medical Center Portsmouth, Portsmouth, Virginia
2   Division of MFM, Department of OB/GYN, University of Arkansas for Medical Sciences, Little Rock, Arkansas
,
Aaron T. Poole
1   Division of MFM, Department of OB/GYN, Naval Medical Center Portsmouth, Portsmouth, Virginia
› Institutsangaben Paper Presentation Poster Presentation at the Society for Maternal Fetal Medicine Annual Meeting, Dallas, TX 2/3/2018
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Publikationsverlauf

19. April 2018

12. September 2018

Publikationsdatum:
18. Oktober 2018 (online)

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Abstract

Objective Aim of this study was to introduce posterior axilla sling traction (PAST) in delivering providers and nursing staff as an adjunct to the management of shoulder dystocia and evaluate comfort in performing the maneuver.

Methods A presimulation questionnaire had given to all participants. A brief training on how to perform PAST was also given. A simulated shoulder dystocia was run where usual maneuvers failed. Participants used PAST for delivery of posterior shoulder, delivery of posterior arm, and to assist with rotation. Participants were then given a post-simulation questionnaire. A Chi-squared test was used to evaluate comfort with performing the procedure pre and post-simulation.

Results Data were collected from 43 participants at pre and post-simulation. Designations (attending, resident, midwife, registered nurse) and responses were recorded to the questionnaires. There was a statistically significant increase in the number of providers and nurses who would feel comfortable using PAST for shoulder dystocia management and for rotational maneuvers. Ninety-three percent of participants would consider using PAST in future shoulder dystocia when usual maneuvers failed.

Conclusion PAST is an adjunct to management of shoulder dystocia that has not previously been taught in our facility. The majority of participants in our simulation felt comfortable with using PAST.

Keywords

simulation - shoulder dystocia - posterior axilla sling traction - obstetric emergency

Note

The authors are military service members (or employee of the U.S. Government). This work was prepared as part of their official duties. Title 17, USC, §105 provides that ‘Copyright protection under this title is not available for any work of the U.S. Government.’ Title 17, USC, §101 defines a U.S. Government work as a work prepared by a military service member or employee of the U.S. Government as part of that person's official duties.


The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.