Shoulder dystocia: calm, coordinated sequence
Educational use only. Not clinically reviewed29-year-old woman for shoulder dystocia recognition, harm-reduction sequence, coordinated escalation, and active-risk handoff practice. About 6 simulated minutes.
What you will practise
- Activate the shoulder-dystocia response, head-delivery clock, leader, timekeeper, newborn team, and support roles.
- Connect head delivery, failed gentle traction, position, pushing, and the whole person.
- Review the stop-pushing, no-fundal-pressure, no-forceful-traction, and first-line position boundaries.
- Review qualified escalation maneuvers, episiotomy-as-access, rescue, and documentation boundaries.
- Review the fixed qualified-team delivery and immediate-risk report.
- Hand off maternal and newborn injury, hemorrhage, support, documentation, and outcome risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- American College of Obstetricians and Gynecologists. Practice Bulletin No. 178: Shoulder Dystocia. 2017; reaffirmed 2024.
- Royal College of Obstetricians and Gynaecologists. Shoulder Dystocia, Green-top Guideline No. 42. 2012.
- DGGG, OEGGG and SGGG. Shoulder Dystocia Guideline, AWMF 015/098. 2024.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.