Relias Shoulder Dystocia Practice Test

The decision to use forceps or vacuum extractors in managing shoulder dystocia is primarily influenced by fetal presentation and maternal health. Understanding the fetal presentation is crucial because it determines the safest approach for delivery. For instance, certain fetal positions may complicate the delivery process, making it more critical to utilize instruments like forceps or vacuums to assist in safely delivering the baby.

Additionally, maternal health plays a significant role in this decision. The physical condition of the mother can affect her ability to push and endure the stresses of assisted delivery. For example, if a mother has certain health issues or complications during labor, the use of forceps or vacuum extraction may be favored to expedite delivery and minimize risks to both the mother and the infant.

While other factors such as hospital policy, the mother's previous birthing experiences, and the cost-effectiveness of interventions are relevant in the broader context of maternity care, they do not directly impact the immediate clinical decision-making process during a shoulder dystocia situation as much as fetal presentation and maternal health do.