The risk of shoulder dystocia related permanent fetal injury in relation to birth weight

Iffy, Leslie; Brimacombe, Michael; Apuzzio, Joseph J.; Váradi, Valéria; Portuondo, Nuris; Nagy, Balázs

doi:10.1016/j.ejogrb.2007.02.010

Cited by 23 publications

(25 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Taking into account the entire data base, including that used for the previous relevant publications [4,15,16,24], Table 6 Birth of ≥4000 g baby in the past 25…”

Section: Resultsmentioning

confidence: 99%

“…b) Among babies of diabetic mothers approximately 50% are born macrosomic [22], as compared to about 10% in the general population [15]. c) The rate of ≥4000 g birth weights has been estimated as 20% among borderline glucose intolerant mothers [20,21].…”

Section: Methodsmentioning

confidence: 99%

“…Attention was drawn therefore to the fact that, contrary to prevailing belief, underestimation of the fetal weight is more perilous than overestimation, insofar as with increasing size the risk of birth injuries rises on a logarithmic rather than geometric scale [15]. Forceps and vacuum extractions proved to be d) independent risk factors.…”

Section: Introductionmentioning

confidence: 99%

“…It was further proposed subsequently that major predisposing factors for arrest of the shoulders should be studied in isolation, detached -as far as possible-from others, in order to eliminate confounding factors. Implementation of these principles opened the way to some new observations [15,16]:…”

Section: Introductionmentioning

confidence: 99%

“…Although previous research had found that the b) majority of arrests of the shoulders involved <4000 g fetuses [18], it was demonstrated that ≥4000 g neonates sustained most of the associated injuries [15]. Growth standards utilized for the interpretation of c)…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Shoulder dystocia related fetal neurological injuries: the role of diabetic control

Iffy¹,

Brimacombe

Váradi³

et al. 2009

Open Medicine

Self Cite

View full text Add to dashboard Cite

AbstractThe study explores the roles of routine prenatal diabetic screening and control in the occurrence of neurological birth injuries associated with shoulder dystocia. The investigation involved retrospective review of 226 medical records that contained information about the antenatal events in cases that resulted in permanent neonatal injuries following arrest of the shoulders at delivery. Close attention was paid to diabetic screening and management of mothers with evidence of glucose intolerance. Analysis of the records revealed that one-third of all women, including those with predisposing factors, received no diabetic screening during pregnancy. The majority of confirmed diabetic patients were not treated adequately. Among babies of diabetic women, birth weights exceeding 4500 g were about 30-fold more frequent than among those with normal glucose tolerance. The data suggest that universal screening and rigid diabetic control, including mothers with borderline glucose tolerance, are effective measures for the prevention of excessive fetal growth and intrapartum complications deriving from it. If ignored, impaired maternal glucose tolerance may become a major predisposing factor for neurological birth injuries. It appears therefore that with routine screening for diabetic predisposition and effective control of gestational diabetes the risk of fetal damage can be reduced substantially.

show abstract

“…Taking into account the entire data base, including that used for the previous relevant publications [4,15,16,24], Table 6 Birth of ≥4000 g baby in the past 25…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Shoulder dystocia related fetal neurological injuries: the role of diabetic control

Iffy¹,

Brimacombe

Váradi³

et al. 2009

Open Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

Fetal macrosomia: a problem in need of a policy

Campbell¹

2014

Ultrasound Obstet Gynecol

View full text Add to dashboard Cite

Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Khan

Ciobanu

Karampitsakos

et al. 2019

Ultrasound in Obstet & Gyne

View full text Add to dashboard Cite

Objectives First, to evaluate and compare the performance of routine ultrasonographic estimated fetal weight (EFW) and fetal abdominal circumference (AC) at 31 + 0 to 33 + 6 and 35 + 0 to 36 + 6 weeks' gestation in the prediction of a large-for-gestational-age (LGA) neonate born at ≥ 37 weeks' gestation. Second, to assess the additive value of fetal growth velocity between 32 and 36 weeks' gestation to the performance of EFW at 35 + 0 to 36 + 6 weeks' gestation for prediction of a LGA neonate. Third, to define the predictive performance for a LGA neonate of different EFW cutoffs on routine ultrasound examination at 35 + 0 to 36 + 6 weeks' gestation. Fourth, to propose a two-stage strategy for identifying pregnancies with a LGA fetus that may benefit from iatrogenic delivery during the 38 th gestational week. Methods This was a retrospective study. First, data from 21 989 singleton pregnancies that had undergone routine ultrasound examination at 31 + 0 to 33 + 6 weeks' gestation and 45 847 that had undergone routine ultrasound examination at 35 + 0 to 36 + 6 weeks were used to compare the predictive performance of EFW and AC for a LGA neonate with birth weight > 90 th and > 97 th percentiles born at ≥ 37 weeks' gestation. Second, data from 14 497 singleton pregnancies that had undergone routine ultrasound examination at 35 + 0 to 36 + 6 weeks' gestation and had a previous scan at 30 + 0 to 34+ 6 weeks were used to determine, through multivariable logistic regression analysis, whether addition of growth velocity, defined as the difference in EFW Z-score or AC Z-score between the early and late third-trimester scans divided by the time interval between the scans, improved the performance of EFW at 35

show abstract

The risk of shoulder dystocia related permanent fetal injury in relation to birth weight

Cited by 23 publications

References 19 publications

Shoulder dystocia related fetal neurological injuries: the role of diabetic control

Shoulder dystocia related fetal neurological injuries: the role of diabetic control

Fetal macrosomia: a problem in need of a policy

Prediction of large‐for‐gestational‐age neonate by routine third‐trimester ultrasound

Contact Info

Product

Resources

About