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.
These total fiber requirements provided by the Institute of Medicine are 21 grams per day for women ages 50 and older, 25 grams for women younger than age 51, 30 grams for men ages 50 and older and 38 grams of total fiber per day for men younger than age 51. Concerns.