Schulterdystokie – Bedeutung der BIP-Thorax-Diskrepanz

Abdominal Access for Shoulder Dystocia as a Last Resort - a Case Report

“…They include maternal risk factors such as obesity (BMI > 30), maternal weight gain of more than 15 kg during pregnancy, diabetes mellitus, multiparity, late-term birth (more than 7 days late), induction of labour, shoulder dystocia at anamnesis, and pelvic anomalies. Foetal risk factors include macrosomia, foetal head circumference of more than 35 cm, and a difference between biparietal and thoracic diameters of more than 14 mm, in other studies of more than 15 mm [7]. Intrapartum risk factors include a protracted expulsion phase, a very quick expulsion phase when the shoulders have no time to rotate properly when reaching the pelvic inlet, vaginal operative delivery and the administration of labour-inducing drugs.…”