Which of the following symptoms may indicate complications during a shoulder dystocia event?

Prolonged labor without fetal descent is a significant indicator of potential complications during a shoulder dystocia event. This situation suggests that while labor is progressing, there may be an obstruction preventing the fetus from descending through the birth canal. This obstruction can lead to serious risks for both the mother and the baby, including fetal distress, injury, or even damage to maternal structures. Recognizing prolonged labor in this context is crucial, as timely intervention is essential to manage the difficulties of shoulder dystocia effectively and to prevent further complications.

The other symptoms, while they may signify other issues, do not specifically indicate complications during shoulder dystocia. Understanding the implications of prolonged labor and the mechanisms involved allows healthcare providers to respond appropriately to protect the health and safety of both the mother and the child during delivery.