The diagnosis and management of dystocia of the shoulder

Morrison, Jo; Sanders, Julia; Magann, E. F.; Wiser, Winfred L.

doi:10.1016/0020-7292(93)90659-k

Cited by 15 publications

(22 citation statements)

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“…Screening reference lists resulted in seven additional studies. [42][43][44][45][46][47][48] Another report, 49 which was not identified in the initial Medline search, was added because a commentary letter 50 was addressed. Thus 76 articles were evaluated: three of these were abstracts from meetings.…”

Section: Results Of Searchmentioning

confidence: 99%

“…51 Thirty-four publications did not meet any of the present inclusion criteria. 11,43,44,46,49,[51][52][53][54][55]57,58,60,62,63,[65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83] Of the remaining 42 articles, 35 met one criterion, and seven articles met two criteria (Tables III and IV). As none of the articles met three or four criteria, the protocol was changed in that a second reviewer evaluated the papers meeting two inclusion criteria.…”

Section: Results Of Searchmentioning

confidence: 99%

See 1 more Smart Citation

Natural history of obstetric brachial plexus palsy: a systematic review

Pondaag

Malessy

Dijk³

et al. 2004

Develop Med Child Neuro

314

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Section: Results Of Searchmentioning

confidence: 99%

Section: Results Of Searchmentioning

confidence: 99%

Natural history of obstetric brachial plexus palsy: a systematic review

Pondaag

Malessy

Dijk³

et al. 2004

Develop Med Child Neuro

314

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“…Because of the low incidence of macrosomia, most cases of shoulder dystocia are unpredictable events which occur during the delivery of nonmacrosomic infants [3]. However, the higher frequency of shoulder dystocia among macrosomic babies has been expected to enable the selection of patients with increased risk of shoulder dystocia who may benefit from the prophylactic cesarean delivery.…”

Section: Introductionmentioning

confidence: 99%

Antepartum Risks of Shoulder Dystocia and Brachial Plexus Injury for Infants Weighing 4,200 g or More

Blickstein

Ben-Arie

Hagay

1998

Gynecol Obstet Invest

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A cohort of 236 vaginally delivered neonates weighing ≥4,200 g was evaluated. Shoulder dystocia was encountered in 27 deliveries (11.4%) and brachial plexus injury was diagnosed in 3 infants (1.3%). The ‘traditional’ antepartum risk factors could not be associated with shoulder dystocia. In this cohort, primiparity was significantly more frequent among the dystocia cases (OR = 8.58, 99% CI = 1.35–54.35, p = 0.021). Shoulder dystocia could not be attributed to a particular difference between the current and the previous heaviest birth weight. A policy of cesarean section for all infants weighing ≥4,200 g would result in at least 5- to 6-fold increase in cesarean rate in this group of patients. Our data reconfirm that shoulder dystocia and brachial plexus injury are unpredictable, even in macrosomic infants. It is a matter of policy whether to accept the expected 1:9 and 1:79 respective risks associated with vaginal births.

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“…Although brachial plexus injury after Caesarean delivery has been described [43,44], it is a remarkably rare event [45]. This debate is related to maternal versus fetal risks.…”

Section: Elective Caesarean Deliverymentioning

confidence: 98%