In this episode of The Birth Lounge podcast, host HeHe is joined by guest Marisa Huebsch to discuss the topic of shoulder dystocia, a rare but serious obstetrical emergency. HeHe and Marisa, a certified nurse midwife, explain what shoulder dystocia is, its causes, and how it can be resolved through various maneuvers. She emphasizes the importance of patient autonomy and informed decision-making during childbirth, particularly in high-stress situations like shoulder dystocia. They also delve into the risks of shoulder dystocia for both mothers and babies, including potential injuries and the importance of postpartum debriefing. The episode aims to demystify this complication, providing listeners with practical advice on staying in control and advocating for themselves during labor and delivery.
00:00 Introduction and Hospital Choices
01:38 Understanding Shoulder Dystocia
03:26 Preventing and Managing Shoulder Dystocia
03:42 Guest Introduction: Marisa Huebsch
06:21 Personal Experiences with Shoulder Dystocia
08:57 Detailed Maneuvers for Shoulder Dystocia
20:15 Induction and Shoulder Dystocia
25:48 Patient Autonomy and Birth Choices
42:46 Addressing Provider Self-Reflection and Bias
44:55 Handling Trauma and Patient Care
47:46 Navigating Patient Autonomy and Informed Consent
49:18 The Role of Providers in Birth Experiences
01:02:55 Managing Shoulder Dystocia Risks and Outcomes
01:15:15 Empowering Patients Through Education and Support
01:18:32 Final Thoughts and Resources
From Marisa:
I was a Labor and delivery nurse for 6 years, worked in 3 different facilities including high risk units and low risk units. I was also a nurse home visitor with Nurse Family Partnership where I worked with low income first time moms and babies throughout pregnancy and through the child's first 2 years. I am now a hospital based CNM in a high volume practice who collaboratively cares for low and high risk patients with a robust midwife team. My practice philosophy is all about empowering patients to be informed about their care, normalizing physiologic birth, and providing the midwifery care model to high risk patients. I have two children, one born in a hospital and one born at home (unusually LONG multip labor , educated by The Birth Lounge)
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