I rarely talk of my third birth, it was completly horendeous.
He is now 8, and it still upsets me no end.....
I had a 2.5 hr labour that was sheer torture. When I got to hossy they broke my waters, and they were black and green. So they put me up on the bed, and said to get him out NOW. The pushing was excrutiating, and after 2 drug free births, I was screaming for an epidural, and was literally pulling out chunks of hair with each contraction.... I was terrified and in unbearable pain. The Ob rolled me onto my side, my mum and partner held my leg up, and he went in and PULLED out my sons head. I was SCREAMING. Mason was blue and black and not breathing. The Ob held the back of his neck, and under his chin, and pulled the rest of him out, and with him came my small shruken black placenta. The Ob ran from the room with my son, and a middie came back in about 5 min and said "its alright, we have your son back with us". It took 3 attepts, and finally a full resusitation to get him back. My placenta had obviously already pulled away long before birth.
But we left the next day, with all being perfect. I was simply told he had been posterior. My 2nd was too, and her birth was dream compared to Mason though!!
Skip to 2 days ago, and the middie was filling out my yellow card for Baby Girl. I got home and looked it over, and next to 3rd birth, it says "Shoulder Dyslocia'.
WTF???!!!
Why was I not told, what is it, and did it contribute to the worst experience I have EVER had in my life???
Shoulder Dystocia is where the shoulder gets stuck in the pelvis on the way out. It can sometimes cause the shoulder/collar bone to break and have nerve damage in that arm. Most times baby is fine. It can happen because of the position of the baby or they way the baby comes out Ie, you said your baby was literally pulled out, and this is probably what caused it. My DD also had this and it was caused by the same thing as you described. She was fine but also born not breathing due to shock i think they said. They probably did not mention this because it was probably very minor but it's still be in your medical notes.
"Mild, to moderate, shoulder dystocia is the most common type of dystocia, and probably does not truly reflect 'real' shoulder dystocia. This is because it generally poses no problems for the baby, only causing a brief delay in the birth of the shoulders, and a little extra manipulation by the caregiver.
Most cases of mild to moderate shoulder dystocia result from the baby's shoulders not rotating quickly enough, before the next contraction, or the woman pushing before the shoulders have had a chance to rotate. Another common reason for this type of shoulder dystocia is that the woman is pushing her baby out in a semi-reclining position, on her back. This causes her coccyx bone to be pushed inwards, preventing it from being moving back out of the way, to make room for the baby.
In these circumstances, if the baby's shoulders are not coming readily, the caregiver will use some careful manipulations and / or ask the woman to change her position, to help the baby's shoulders be released, and allow the baby to be born more easily.
Severe shoulder dystocia
True shoulder dystocia is regarded as 'severe', and can occur in about 0.2% of vaginal births. It happens when the baby's shoulders are too large to fit easily through the woman's pelvis, even when they are lying vertically in the woman's pelvis. The anterior shoulder becomes 'wedged' in a sense, behind the woman's symphysis pubis. Severe shoulder dystocia is more likely to happen with a baby that is 'macrosomic', or unusually large (over 4,500grams or 10lb). "
Mason was 3999g born. I just called mum and she said even though he was not breathing, after his head came out, he turned it to the left, and thats when the Ob grabbed him and got the rest out. I think the Ob knew what was happening, and done what he could to get him out.....
The thing with previous shoulder dystocia too is that when its on your record all doctors seem to automatically think it was severe. I keep getting asked if she suffered any damage, how long was she stuck for etc. I had to nearly fight off a c/s for DS. After DD was born they told me i would need a c/s everytime now because she was obviously too big for me. Which wasn;t the case at all because DS was the 9lb also and he came out fine.
I try not to think too much about it. I know it was only mild and it wouldnt have been severe because she was not too big for me as most severe cases are. And DS came out fine. So i just have in my head, i know more now, i know what position to get into to prevent this and i have done it before without problems. If i dwelled on it too much i wouldnt be able to birth properly without that fear in the back of my head.
WHAT???? Shoulder Dyslocia???!!
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