What type of delivery requires monitoring for shoulder dystocia?

Shoulder dystocia is a specific obstetrical emergency that occurs during vaginal delivery, particularly associated with larger babies (often referred to as macrosomia). In this situation, after the fetal head is delivered, the shoulder becomes lodged behind the mother’s pubic bone, which can lead to complications for both the baby and the mother if not managed quickly and effectively.

Monitoring for shoulder dystocia is especially critical during a vaginal delivery of larger infants because these babies have an increased risk of encountering this condition. Healthcare providers prepare for potential shoulder dystocia by using specific maneuvers and techniques to safely deliver the baby if such a situation arises.

In contrast, shoulder dystocia is not a concern during a C-section delivery, as the surgical approach allows for direct visual and physical access to the baby without the risks associated with the birthing canal. Induced labor may carry risks, but it does not directly correlate with the incidence of shoulder dystocia unless the delivery involves a larger baby. Home births also may not provide immediate access to the necessary medical interventions in case of complications like shoulder dystocia, thus making it less standard to monitor specifically for this issue compared to a hospital setting.