What is the risk of not recognizing shoulder dystocia early during labor?

Recognizing shoulder dystocia early during labor is crucial because it directly impacts both fetal and maternal health outcomes. When shoulder dystocia goes unrecognized or is delayed in recognition, the risk of significant complications increases substantially.

For the fetus, failing to identify this condition promptly can lead to various forms of morbidity, including brachial plexus injuries, asphyxia, and even stillbirth in severe cases. The longer the shoulders are lodged, the greater the potential for oxygen deprivation and physical injury, making early recognition essential.

For the mother, the failure to act quickly on signs of shoulder dystocia can lead to complications such as hemorrhage, uterine atony, or even the necessity for more invasive surgical interventions. Thus, the overall health risks to both the mother and child escalate dramatically when shoulder dystocia is not recognized in a timely manner. This is why understanding and recognizing the signs early can lead to critical interventions that may prevent severe outcomes.