Discourse on dystocia: A much needed professional dialogue

When I first read the recent article in the May issue of BJM on ‘Managing shoulder dystocia: understanding and applying the RCOG guidance’ (Jenkins, 2014), I was immediately engaged and interested in the identified problem and the innovative approach taken to resolve it. I wanted to know what this author, Louise Jenkins had to say on the subject. It was, in my view, an exemplar as to how a midwife teacher in this case, could take a subject that her students were finding difficult and de-construct it in a manner which drew on recent authoritative guidance (Royal College of Obstetricians and Gynaecologists (RCOG), 2012), ending up with a modification that not only highlighted important aspects of the initial HELPERR mnemonic based approach (Baxley and Gobbo, 2004), but broadened general understanding and insight in to what can be a terrifying and devastating event. In placing this in the context of her student's learning, she provided a comprehensive overview of the professional advice available, the process of managing a shoulder dystocia, and the impact and long term implications for both mother and baby. Overall, a brilliant and well-written professional article, which I have no doubts will enhance not only the learning of Louise's students, but midwives in general.