Shoulder dystocia: What is the risk of recurrence?

Usta, Ihab M.; Hayek, Salim S.; Yahya, Fadi; Abu-Musa, Antoine; Nassar, Anwar H.

doi:10.1080/00016340802415614

Cited by 17 publications

(7 citation statements)

References 13 publications

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“…This finding remained significant in a multivariable analysis adjusting for other well-established SD risk factors such as macrosomia and GDM. The recurrence rate found in our study is consistent with previously published retrospective studies [16][17][18][19]. In previous work evaluating SD incidences during the years 1988-2008, there was a steady decline in the incidence of SD [8].…”

Section: Discussionsupporting

confidence: 94%

“…The authors failed to isolate any risk factors for recurrent SD. On the contrary, others have found an independent association between birthweight and recurrent SD [16,24,25]. The difference in mean birthweight between women who did and did not experience SD in the past was 410 g suggesting that birthweight serves is an intermediary (and not merely a confounding) characteristic through which a history of SD is associated with recurrent SD.…”

Section: Discussionmentioning

confidence: 84%

“…The event of previous shoulder dystocia is also a known risk factor [16]. Yet, there are great variations in previously published data regarding the rate of recurrent shoulder dystocia and the true risk is yet to be determined [17].…”

Section: Introductionmentioning

confidence: 97%

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Recurrent shoulder dystocia: is it predictable?

Kleitman

Feldman

Walfisch

et al. 2016

Arch Gynecol Obstet

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 84%

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Recurrent shoulder dystocia: is it predictable?

Kleitman

Feldman

Walfisch

et al. 2016

Arch Gynecol Obstet

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“…L'incidence de récidive de dystocie apparaît effectivement comme l'un des facteurs de risque les plus pertinents, estimée entre 3,8 à 25 % [12,49,50]. La meilleure voie d'accouchement après un premier accident reste mal évaluée.…”

Section: Discussionunclassified

La dystocie des épaules : analyse descriptive sur dix années dans une maternité de niveau III

Lima

Chauleur

Varlet

et al. 2009

Gynécologie Obstétrique & Fertilité

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“…This may be underestimated since many patients and clinicians choose an abdominal delivery in pregnancies subsequent to an episode of shoulder dystocia. The combination of a previous shoulder dystocia and LGA is particularly worrisome (42) . Of note, the absence of shoulder dystocia in a previous pregnancy does not preclude its occurrence in a subsequent pregnancy (43) .…”

Section: Introductionmentioning

confidence: 99%

Suspected fetal macrosomia and the risk of shoulder dystocia as an indication for cesarean section

Vlădăreanu¹

2015

Gineco.eu

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Suspected fetal macrosomia and the risk of shoulder dystocia as an indication for cesarean section Macrosomia is associated with increased risk for perinatal complications including prolonged labor, shoulder dystocia, perinatal mortality and maternal morbidity including cesarean delivery, severe postpartum hemorrhage, and vaginal lacerations. Among maternal risk factors for fetal macrosomia are high body-mass index, diabetes mellitus, postterm pregnancy, previous macrosomic infant. Shoulder dystocia occurs in 0.2-3% of all births and represents an obstetric emergency. Although, in general, clinical estimates of birth weight perform favorably, ultrasound immediately prior to labour is more accurate at predicting the high birth-weight fetus. Ultrasound measurement of abdominal circumference and fetal biometry are the only practical methods used to detect fetal weight over 4000 g, but they are characterized by low sensitivity, low positive predictive value and high negative predictive value. Serial sonographic measurements can increase the positive predictive value. By combining three-dimensional volumetric measurements with two-dimensional measurements, should increase the ability to predict macrosomia. Nowadays, clinicians needs to examine all the information available to take a decision on whether the risk of macrosomia and shoulder dystocia is high, and if so then an elective caesarean section is indicated. Predicting fetal macrosomia does not imply that elective caesarean section is the method of choice, but it should be made clear to the couple that elective caesarean section is the low-risk option. Important to note is that each woman should be informed of the particular risks associated with a macrosomic fetus and shoulder dystocia. The mother should be supported in the decision, because it is a situation in which maternal autonomy is paramount.

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Shoulder dystocia: What is the risk of recurrence?

Abstract: The risk of recurrence of shoulder dystocia is around 25%. When counseling women about recurrence risk, the absence of macrosomia and a smaller birthweight than the previous pregnancy could be reassuring.

Cited by 17 publications

References 13 publications

Recurrent shoulder dystocia: is it predictable?

Recurrent shoulder dystocia: is it predictable?

La dystocie des épaules : analyse descriptive sur dix années dans une maternité de niveau III

Suspected fetal macrosomia and the risk of shoulder dystocia as an indication for cesarean section

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