Performing double episiotomy for shoulder dystocia management. Case report

Abstract

Shoulder dystocia is an obstetric emergency that occurs in approximately 1% of vaginal deliveries. This situation is related with neonatal morbidity and mortality as long as maternal complications. The management of shoulder dystocia should be quick in order to avoid serious consequences. This case report is about the immediate diagnosis and successful management of shoulder dystocia through performing a second episiotomy after the HELPER mnemonic failed.