Shoulder dystocia is a specific case of obstructed labour whereby after the delivery of the head, the anterior shoulder of the infant cannot pass below, or requires significant manipulation to pass below, the pubic symphysis.he major concern of shoulder dystocia is damage to the upper brachial plexus nerves. These supply the sensory and motor components of the shoulder, arm and hands. The aetiology of injury to the fetus is debated, but a probable mechanism is manual stretching of the nerves, which in itself can cause injury.
Women need 25 grams of fiber per day, and men need 38 grams per day, according to the Institute of Medicine. Eating more plant foods -- vegetables, beans, fruit, whole grains, and nuts -- is the best way and is one of the major recommendations from the U.S. government's 2010 Dietary Guidelines.
The Food and Nutrition Board of the Institute of Medicine assembled an adequate intake, or AI, for total fiber. Adult men should get 30 to 38 grams of fiber each day, while adult women need 21 to 25 grams. During pregnancy and while nursing, however, you should get 28 to 29 grams of total fiber daily.This basic recommendation may be too much or too little, depending on your diet.he Food and Nutrition Board of the Institute of Medicine assembled an adequate intake, or AI, for total fiber. Adult men should get 30 to 38 grams of fiber each day, while adult women need 21 to 25 grams. During pregnancy and while nursing, however, you should get 28 to 29 grams of total fiber daily.