Signs and symptoms [edit]. One characteristic of a minority of shoulder dystocia deliveries is the turtle sign, which involves the appearance and retraction of the fetal head (analogous to a turtle withdrawing into its shell), and the erythematous (red), puffy face indicative of facial flushing.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.
There is a fee of $175 for getting Indian Passport cancelled. Indian Passport of US national, expiring on or after 1st January 2005, and if the Indian Passport is not cancelled even after 3 years of acquiring US citizenship, such Indian passport holder needs to pay a fine of $250 in addition to $175 renunciation fee.ew Rule : $175 fee when you surrender Indian Passport. This very very recent (may be a day or two old). But, when you acquire US citizen ship and surrender the Indian passport (with PIO/OCI Visa application or otherwise), Indian embassy is charging $175 fee. This is sheer nonsense and nothing but money making.
1 The total cost to get photos and apply for a passport can run $50-$175. 2  The Department of State Passport Fees website breaks down all the standard government fees.3  Breaking down the specific costs, the application fee for a passport booklet is $75 for adults (16+) and $60 for children. The total cost to get photos and apply for a passport can run $50-$175. 2  The Department of State Passport Fees website breaks down all the standard government fees.