Yared Georges, Massaad Christopher, Ghazal Kariman
Obstetrics and Gynecology Department, Lebanese American University, Beirut, Lebanon.
Faculty of Medicine, Saint George University of Beirut, Rmeil, Lebanon.
Future Sci OA. 2025 Dec;11(1):2458427. doi: 10.1080/20565623.2025.2458427. Epub 2025 Jan 30.
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.
A qualitative study involving 20 participants through structured interviews assessed preferred leadership styles in managing shoulder dystocia.
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.
Despite 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.
肩难产是产科医生面临的一项具有挑战性的情况，对产妇和新生儿的健康都构成重大风险，包括产妇产后出血、新生儿缺氧和臂丛神经损伤。尽管肩难产不可预测且无法预防，但有效的处理可以降低这些风险。沟通不畅和领导力不足导致了72%的医疗差错，这进一步凸显了在产科紧急情况中具备强大领导技能的重要性。
一项定性研究通过结构化访谈对20名参与者进行了评估，以了解在处理肩难产时偏好的领导风格。
研究结果显示，55%的参与者倾向于量子领导力。其他偏好包括一名麻醉医生倾向的自由放任式领导风格和两名助产士倾向的民主式领导风格。然而，所有参与者都认可这七种量子领导技能在处理肩难产方面的有效性。讨论强调，在处理肩难产的复杂性方面，与量子领导力相比，传统领导风格效果较差。由12个里程碑组成的量子产科轮将这七种相互依存的技能整合在一起，以指导处理过程。
尽管本研究样本量有限，但值得注意的是，鉴于肩难产的不可预测性，临床医生在任何分娩过程中都应做好应对其发生的准备，量子领导力在此类情况下具有战略优势。
