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 recommended daily intake of fiber is 20 to 35 grams per day for adults, adolescents, and older children. Desirable fiber intake for children (under 18) is calculated by age plus five grams. For example, a six-year-old needs 11 grams of fiber per day. The average American only gets 10 to 15 grams of fiber per day so most people need to increase their fiber intake.