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After a tragic birth story out of Atlanta, an OBGYN breaks down 'maneuvers of last resort'

"A shoulder dystocia, if you don't know, is an obstetric emergency."

zavanelli maneuver; women's health; infant decapitation; Atlanta baby decapitation; infant mortality

OB-GYN breaks down shoulder dystocia after tragedy in Atlanta.

TRIGGER WARNING: This story contains graphic details of childbirth trauma and infant loss.

A couple in Atlanta, Georgia, experienced a devastating loss that by all stretches of the imagination seems impossible. Unfortunately, the unimaginable is one of the rarest of rare birth complications that resulted in the loss of their newborn son.

Jessica Ross and her partner, Treveon Taylor, were excitedly awaiting the delivery of their first child when during the pushing stage of labor, baby Treveon Taylor Jr.'s shoulder got stuck. According to the Cleveland Clinic, shoulder dystocia is when one or both of the baby's shoulders get stuck behind a bone in the pelvis, which doesn't allow the baby to exit the birth canal.

Ross found herself in this very situation, which eventually resulted in an emergency situation in which the doctor had to dislodge the baby from the pelvis and perform a Cesarean section. It is suspected that the force with which the baby was dislodged caused the infant's decapitation.


Doctors and nurses on TikTok have been taking to the app in an attempt to explain how a situation like this occurs. Dr. Fatima Daoud, OB-GYN uploaded two separate videos expanding on information about shoulder dystocia and what she says are "maneuvers of last resort." She explains in the video that maneuvers of last resort are actions taken by the provider that may cause harm to the baby but are necessary to save the baby's and/or mother's life.

"The first thing I'm going to say is that shoulder dystocia, it's rare. But when it does happen it's an unpredictable, unpreventable medical emergency," Daoud explains. "There are risk factors, sure, for shoulder dystocia. But actually, the majority of shoulder dystocias happen in people who have no risk factor at all."

This essentially means that there's no way for a doctor or midwife to know that you may experience shoulder dystocia while delivering your baby. But when it happens, things have to move extremely quickly because once the baby's face hits the air, the clock has started. There are only a few minutes to get the baby out before they've been deprived of oxygen for too long. During this time doctors and nurses try multiple different ways to dislodge the baby's shoulder but if all else fails, they have to move to the maneuvers of last resort.

Daoud explains that decapitation due to shoulder dystocia is "astronomically, astronomically rare" before revealing that it doesn't always mean malpractice has occurred.

@doctordaoud

#stitch with @wykeishaforthecommunity Major content warning here, but I do feel that as medical professionals we have an obligation to responsibly and respectfully weigh in on prominent medical-related news.

"Is because, when we're trying to resolve a shoulder dystocia when it happens, there are multiple maneuvers that we do. Three of them are what we call maneuvers of last resort. The extreme stuff," Daoud continues. If the extreme stuff doesn't work, what are you going to do? If nothing is working, what are you going to do? And a decapitation is the answer. I'm so sorry to say this, but that doesn't automatically mean malpractice took place."

The OB-GYN apologized multiple times in the video understanding that it's not pleasant information, but it's necessary information to have in order to understand how the couple's doctor may have gotten to that point. It has been reported that this couple's baby died before the Cesarean took place due to how long he was stuck in the birth canal.

In a follow-up video, Daoud goes into more detail about the three last-resort maneuvers before something as horrific as a decapitation occurs. One involves breaking the baby's clavicle to force the shoulders past the pubic bone, and the very last one is the "Zavanelli maneuver," in which they attempt to push the baby back into the uterus via the birth canal.

"Performing a Cesarean in the middle of shoulder dystocia is very much different than performing a Cesarean section that's scheduled or in labor," Daoud says. "It's not even comparing apples to oranges. It's like comparing an apple to a truck."

She goes on to explain that if the Zavanelli Maneuver is unsuccessful and you've attempted all of the other maneuvers of last resort prior to the Zavanelli, the focus becomes saving the mom. Daoud is clear that she is not speculating on the case from Atlanta but explaining how an infant death like this can occur.

It's a tragic thing to consider and an even more tragic thing to experience. Everyone is wishing the parents currently experiencing this unimaginable loss comfort during this difficult time.

@doctordaoud

Replying to @RaideretteRaiderLicious It’s not as simple as making a cut and scooping the baby out like a typical c-section, though I obviously cannot say what did and did not take place during this tragedy. #zavanellimaneuver #shoulderdystocia

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10 anti-holiday recipes that prove the season can be tasty and healthy

Balance out heavy holiday eating with some lighter—but still delicious—fare.

Albertson's

Lighten your calorie load with some delicious, nutritious food between big holiday meals.

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The holiday season has arrived with its cozy vibe, joyous celebrations and inevitable indulgences. From Thanksgiving feasts to Christmas cookie exchanges to Aunt Eva’s irresistible jelly donuts—not to mention leftover Halloween candy still lingering—fall and winter can feel like a non-stop gorge fest.

Total resistance is fairly futile—let’s be real—so it’s helpful to arm yourself with ways to mitigate the effects of eating-all-the-things around the holidays. Serving smaller amounts of rich, celebratory foods and focusing on slowly savoring the taste is one way. Another is to counteract those holiday calorie-bomb meals with some lighter fare in between.

Contrary to popular belief, eating “light” doesn’t have to be tasteless, boring or unsatisfying. And contrary to common practice, meals don’t have to fill an entire plate—especially when we’re trying to balance out heavy holiday eating.

It is possible to enjoy the bounties of the season while maintaining a healthy balance. Whether you prefer to eat low-carb or plant-based or gluten-free or everything under the sun, we’ve got you covered with these 10 easy, low-calorie meals from across the dietary spectrum.

Each of these recipes has less than 600 calories (most a lot less) per serving and can be made in less than 30 minutes. And Albertsons has made it easy to find O Organics® ingredients you can put right in your shopping cart to make prepping these meals even simpler.

Enjoy!

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Breakfast Skillet of Greens, Eggs & Ham

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1 (5 oz) pkg baby spinach

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1 pinch crushed red pepper

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8 oz. ham steak, boneless

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3 Tbsp mayonnaise

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2 tsp red wine vinegar

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1/2 cup Kalamata olives, pitted

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For more delicious and nutritious recipes, visit albertsons.com/recipes.

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