Team Training and Institutional Protocols to Prevent Shoulder Dystocia Complications

Clin Obstet Gynecol. 2016 Dec;59(4):830-840. doi: 10.1097/GRF.0000000000000231.


Shoulder dystocia is an obstetrical emergency that may result in significant neonatal complications. It requires rapid recognition and a coordinated response. Standardization of care, teamwork and communication, and clinical simulation are the key components of patient safety programs in obstetrics. Simulation-based team training and institutional protocols for the management of shoulder dystocia are emerging as integral components of many labor and delivery safety initiatives because of their impact on technical skills and team performance.

Publication types

  • Review

MeSH terms

  • Delivery, Obstetric / adverse effects
  • Delivery, Obstetric / education*
  • Dystocia / prevention & control*
  • Emergencies
  • Female
  • Humans
  • Infant, Newborn
  • Inservice Training / methods
  • Obstetrics / education*
  • Obstetrics / standards
  • Patient Care Team / standards*
  • Patient Safety
  • Pregnancy
  • Shoulder
  • Simulation Training / methods*