Does a macrosomia (large for gestational age baby) always cause shoulder dystocia?

Patient's question:

I had a prenatal check-up and was diagnosed with a macrosomia. Can macrosomia really lead to shoulder dystocia? How should it be treated?

Doctor's answer:

Hello, when the baby's head has already come out, but the shoulder cannot be delivered because it is stuck by the pubic bone, then it can be diagnosed as shoulder dystocia. It is difficult to predict shoulder dystocia before birth; it can only be known whether there is shoulder dystocia during delivery. If shoulder dystocia really occurs, we should know what to do to help the baby be delivered. Wish you good health.

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