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.
Even though fiber is considered a carbohydrate it doesn't raise blood glucose levels, and increased fiber intake has been shown to actually decrease glucose levels in people with diabetes. The recommended amount of fiber varies but all sources agree that 25 grams should be the minimum grams of fiber in a day. A large-scale analysis of medical research, published in the Journal of the American College of Nutrition recommends a range of 25 to 50 grams per day. Many people don't eat enough fiber.