Management of shoulder dystocia: a re-audit

Results There were 23 cases of shoulder dystocia; one case had to be discounted. Documentation had declined since 2009 when all areas were 100% documented. Only 65% of cases recorded the manoeuvres used, their timing and stage of delivery. The CNST additionally requires the sequence of manoeuvres and who conducted them which was not routinely recorded. McRobert’s position resolved 50% of cases, the remainder escalated to suprapubic pressure (14%), entry manoeuvres (18%) and posterior arm removal (18%). Only 41% recorded the staff attending and the time they arrived. The rate of brachial plexus injury rose from 6.7% to 15.8%.