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."
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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There's a reason why some people can perfectly copy accents, and others can't
Turns out, there's a neurodivergent link.
A woman in black long sleeve shirt stands in front of mirror.
Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.
It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."
Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."
While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."
People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'
They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."
(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)
Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."
Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"
Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."
And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."