 |
 |
||
 |
 |
||
  |
What is ACOG (American College of Obstetricians and Gynecologists) Doing About Shoulder Dystocia?Disastrous consequences can be the result if a should dystocia emergency occurs during live birth. Because in this situation the head of the baby is already delivered, but the baby's shoulder become trapped behind the mother's pelvis, there arises a strong possibility of the baby suffocating and dying if too much time elapses and the shoulder dystocia is not properly resolved. In truth, sometimes even if doctors are able to resolve the dystocia using one of the many maneuvers for handling shoulder dystocia, far too frequently brachial plexus injuries are sustained by the baby. Such injuries affect the movement of the arm and hands and may even leave the baby's arm paralyzed for life. Though some statistics suggest that this occurs in only two to five babies per every 1000 live births, as far as we are concerned that is two to five babies too many. Fortunately, ACOG (American College of Obstetricians and Gynecologists) has recognized the seriousness of this birthing emergency and is taking many steps to ensure that brachial plexus injuries from shoulder dystocia can be reduced. Here's a look at what ACOG is doing about shoulder dystocia. Training For Doctors For Prevention Of Brachial Plexus Injuries ACOG has many different training and educational programs for doctors and health care practitioners to help prevent brachial plexus injuries. They routinely conduct clinical seminars on the subject of 'Managing Shoulder Dystocia', which help to educate doctors on the following topics: - Is it possible to predict shoulder dystocia? - Is shoulder dystocia preventable? - When the emergency does occur, is it possible to resolve shoulder dystocia without causing any fetal injury or brachial plexus injuries? - Is excess traction, applied by the doctor, the reason for all brachial plexus injuries? By taking part in such seminars and completing the training courses, obstetricians and other health care givers are then able to: - Identify the various risk factors for shoulder dystocia and take measures to prevent it if there is an increased risk of dystocia. - Resolve shoulder dystocia (if it occurs) in the best possible manner using the various maneuvers for handling dystocia. - Understand why brachial plexus injuries occur, especially due to the application of excessive traction. With better understanding of these reasons there is higher chance of resolving shoulder dystocia without brachial plexus injuries. ACOG also has videos on shoulder dystocia that show doctors how to recognize the emergency in the labor room and how they can help reposition mothers so as to widen their birth canal to the maximum and help the baby to be delivered without brachial plexus injuries such as Erb's palsy. Thus, ACOG is doing its best to educate doctors about shoulder dystocia, its prediction, and prevention. But since shoulder dystocia and resultant brachial plexus injuries are very difficult to predict, ACOG training for doctors also aims to teach doctors how best to resolve shoulder dystocia and prevent fetal injuries. In addition to the above, ACOG seminars also aim to make doctors aware about the many medico-legal aspects regarding shoulder dystocia and brachial plexus injuries. Shoulder dystocia lawsuits are discussed as well as the various claims that can be made against doctors if fetal injuries do occur. Since doctors are made aware of the huge potential for expensive litigation in the form of brachial plexus injury lawsuit, it does make them try that much harder to prevent shoulder dystocia and conditions such as Erb's palsy. Information For Parents For Prevention Of Brachial Plexus Injuries Apart from training doctors and conducting clinical seminars, ACOG is also involved in educating parents about everything related to shoulder dystocia and brachial plexus injuries. By providing relevant information to parents, ACOG is trying to make them more aware of such birthing emergencies and what parents can do to prevent fetal or birth injuries to their babies. The ACOG regularly releases for parents practice bulletins that contain the most updated should dystocia information. The information contained in these bulletins helps mothers to recognize whether or not they are at an increased risk for shoulder dystocia. If the risk of dystocia and brachial plexus injuries is high, parents are advised as to the best way to reduce such risk and ensure the birth of a healthy baby. Two main risk factors for shoulder dystocia are maternal diabetes and fetal macrosomia. ACOG has issued practice bulletins on these two topics so that parents can manage gestational diabetes properly and also perhaps opt for a cesarean delivery if the fetus is macrosomic (excessively large). Here are the ACOG guidelines on these two topics: 1. ACOG Guidelines For Fetal Macrosomia: The recommendations are: - Cesarean delivery is indicated when the weight of the fetus is more than 4500 grams. - Women who are not diabetic should consider cesarean deliveries if the weight of their fetus is more than 5000 grams. For diabetic women the fetal weight for cesarean consideration is 4500 grams. 2. ACOG Guidelines For Management Of Gestational Diabetes: The recommendations are: - Mothers should take the laboratory-screening test for gestational diabetes between 24 and 28 weeks of pregnancy. - If gestational diabetes is present, ask the obstetrician about the best manner in which to manage this condition during pregnancy. ACOG also recommends that women who have gestational diabetes and whose fetus weighs more than 4500 grams should seriously consider a cesarean delivery as this reduces the risk of brachial plexus injuries greatly. The clinical seminars, practice bulletins and training programs issued by the ACOG for doctors and parents therefore greatly assist in lessening the number of brachial plexus injuries from shoulder dystocia. Other articles by this author »
About Peter Kent
Peter Kent maintains LegalView.com, your source for everything legal. Anapol Schwartz is a member of the partnership of law firms represented at http://www.legalview.com/, and has real-world experience aggressively litigating birth injury and medical malpractice cases. Their lawyers have won millions for clients injured by the mistakes of their doctors, including an $800,000 settlement won by partner Alan Schwartz, Esq. the shoulder dystocia lawyer in this case. For more information, visit the law firm itself at http://www.anapolschwartz.com/. Related
And here is another random article you might be interested in... Part 4 of 5 On The Home Business Set-Up GuidePart 4 of 5 On The Home Business Set-Up Guide Dear Reader, These articles will provide a step by step guide on how to start and run a home based business based on my experiences and other home business owners. This is part 4 in a series of 5 articles. They are written in a basic format and where possible main points are summarised in an attempt to be understood by all. I have tried to minimise the technical jargon as much as possible. So lets jump right in and see what we need to know about starting and running a home based business. Regards, Alvin I publish Home Business Tips, a fresh and informative newsletter dedicated to supporting people like YOU! If you're looking for the best rated home business opportunities, latest time saving tools and helpful support from a friend in the business, come by and a grab a F-R-E-E subscription today at: http://www.parttimeincome.org Business Networking Networking and building relationships is essential for the growth of your business. The way to network is to associate yourself with other peers, who will hopefully become suppliers and clients. A good place to start is to find business associations, clubs and business networks which interest you and contact them. Most organisations are always looking for new members and you ill be welcomed. Approach networking in a manner that aims at building a long term relationship rather that the benefit of a short term sale. Ways to network:
E-Commerce E-business has become commonplace in the marketplace. You will find your business may use some e-commerce technologies:
The World Wide Web Inevitably your business will reach the stage where using the internet will be essential. You will have to buy a modem, which enables the computer to connect to the internet. The next step is to find a ISP (internet service provider) who will provide you access to the internet. Website A website may be suitable for your business, but before you spend the money, consider exactly how it will benefit your business. There are many companies who will setup a website costing a few hundred dollars to a few thousand. There may be additional fees and charges (such as registering a domain name), so check with your ISP. Expanding Your Business Commonly a business will require more capital to expand. There are few ways to do this, the most common are a bank loan and debt and equity finance. The Bank Loan All lender's have certain criteria which need to be met before a loan is given:
In many cases applications for loans fail because the borrower has not presented the relevant or sufficient information to enable the lender to understand the intentions of the borrower and the viability of the business venture. Debt And Equity Finance Debt finance is money borrowed by the business, from an external source. This is the most common way a small business raises additional funds. Equity finance is capital provided by the owner or investors into the business. Planning For The Future Some develop a business for lifestyle reasons, some use it as a means for creating income, or wealth creation in the long term. Some options for the future of your business include:
I hope this article has set you on the path to create your own home based business and empower you to reach your financial destiny. In the next article, I will cover some of the ins and outs of growing your small business from home. Click Here To Get Other Resources On Home Based Business Ideas & Opportunities I Am Making As Much Money Part Time From My Home Business As I Was Working Full Time In My 9-5 Job. Want To Hear My Story? Other articles by this author »
About Alvin
I publish Home Business Tips, a fresh and informative newsletter
dedicated to supporting people like YOU! If you're looking for the
best rated home business opportunities, latest time saving tools
and helpful support from a friend in the business, come by and a
grab a F-R-E-E subscription today at: http://www.parttimeincome.org Related
|
