{
    "abstract": "Shoulder dystocia, a challenging condition for obstetricians, poses significant risks to both maternal and neonatal health, including maternal postpartum hemorrhage, neonatal hypoxia, and brachial plexus injury. Despite being unpredictable and unpreventable, effective management can mitigate these risks. Miscommunication and poor leadership are responsible for 72% of medical errors, which further highlights the importance of robust leadership skills in obstetric emergencies.\nA qualitative study involving 20 participants through structured interviews assessed preferred leadership styles in managing shoulder dystocia.\nFindings revealed that 55% of participants favored quantum leadership. Other preferences included laissez-faire by one anesthesiologist and democratic by two midwives. However, all participants acknowledged the efficacy of the seven quantum leadership skills in managing shoulder dystocia. Discussion emphasized that traditional leadership styles are less effective compared to quantum leadership in managing the complexities of shoulder dystocia. The quantum Ob-Wheel, consisting of 12 milestones, integrates these seven interdependent skills to guide the management process.\nDespite the limited sample size of this study, it is worth noting that, given the unpredictable nature of shoulder dystocia, clinicians should be prepared for its occurrence during any birth, with quantum leadership providing a strategic advantage in such scenarios.\nShoulder dystocia is when a baby\u2019s shoulders get stuck during birth after the head is already out. This can be risky for both the mother and the baby. It can cause a lot of bleeding for the mother and can harm the baby or cause them not to get enough oxygen. We studied how to best handle this problem. We found that using a style called \"quantum leadership\" helps a lot. This means the team in the delivery room talks well, thinks fast, and comes up with new ideas on how to help quickly. We also looked at a tool called the \"Quantum Ob-Wheel\" that helps doctors and midwives during these tough moments. It guides them to make quick and smart choices. Our study shows that being ready and using this leadership style makes it safer for mothers and their babies during birth.",
    "authors": [
        {
            "affiliation": "Obstetrics and Gynecology Department, Lebanese American University, Beirut, Lebanon.",
            "firstname": "Georges",
            "initials": "G",
            "lastname": "Yared"
        },
        {
            "affiliation": "Faculty of Medicine, Saint George University of Beirut, Rmeil, Lebanon.",
            "firstname": "Christopher",
            "initials": "C",
            "lastname": "Massaad"
        },
        {
            "affiliation": "Faculty of Medical Sciences, Obstetrics and Gynecology at Lebanese University, Beirut, Lebanon.",
            "firstname": "Kariman",
            "initials": "K",
            "lastname": "Ghazal"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.1080/20565623.2025.2458427\n10.1097/AOG.0000000000000597\n10.1055/a-1192-7254\n10.1177/00258172221144164\n10.2217/whe.15.103\n10.21037/apm-21-545\n10.1016/j.jcrc.2018.05.001\n10.1016/j.jemermed.2013.08.110\n10.1098/rsfs.2020.0015\n10.1080/00207284.1994.11490737\n10.1098/rsfs.2022.0063\n10.1103/PhysRevLett.130.240201\n10.1097/00005110-199910000-00008\n10.3390/e24020240\n10.1016/j.cnur.2022.10.006",
    "journal": "Future science OA",
    "keywords": [
        "Shoulder dystocia",
        "leadership styles",
        "maternal health",
        "medical errors",
        "neonatal health",
        "obstetric emergencies",
        "obstetric management",
        "qualitative study",
        "quantum Ob-Wheel",
        "quantum leadership"
    ],
    "methods": null,
    "publication_date": "2025-01-30",
    "pubmed_id": "39883046\n25560106\n32575127\n36688427\n26901875\n15887609\n37590980\n33966398\n29779828\n24360351\n32146080\n8181895\n37065266\n18777666\n37390437\n10533498\n35205534\n27743977\n36731962\n23852848",
    "results": "Findings revealed that 55% of participants favored quantum leadership. Other preferences included laissez-faire by one anesthesiologist and democratic by two midwives. However, all participants acknowledged the efficacy of the seven quantum leadership skills in managing shoulder dystocia. Discussion emphasized that traditional leadership styles are less effective compared to quantum leadership in managing the complexities of shoulder dystocia. The quantum Ob-Wheel, consisting of 12 milestones, integrates these seven interdependent skills to guide the management process.",
    "title": "Quantum leadership: new approach in managing shoulder dystocia in simulation-based training.",
    "xml": "<Element 'PubmedArticle' at 0x7885065a53f0>"
}