After shoulder dystocia: managing the subsequent pregnancy and delivery.

Abstract:

:Among risk factors for shoulder dystocia, a prior history of delivery complicated by shoulder dystocia is the single greatest risk factor for shoulder dystocia occurrence, with odds ratios 7 to 10 times that of the general population. Recurrence rates have been reported to be as high as 16%. Whereas prevention of shoulder dystocia in the general population is neither feasible nor cost-effective, intervention efforts directed at the particular subgroup of women with a prior history of shoulder dystocia can concentrate on potentially modifiable risk factors and individualized management strategies that can minimize recurrence and the associated significant morbidities and mortality.

journal_name

Semin Perinatol

journal_title

Seminars in perinatology

authors

Gurewitsch ED,Johnson TL,Allen RH

doi

10.1053/j.semperi.2007.03.009

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

185-95

issue

3

eissn

0146-0005

issn

1558-075X

pii

S0146-0005(07)00049-3

journal_volume

31

pub_type

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