TY - JOUR
T1 - Recurrent Shoulder Dystocia
T2 - Risk Factors and Counseling
AU - Gurewitsch Allen, Edith D.
N1 - Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - A prior history of delivery complicated by shoulder dystocia confers a 6-fold to nearly 30-fold increased risk of shoulder dystocia recurrence in a subsequent vaginal delivery, with most reported rates between 12% and 17%. Whereas prevention of shoulder dystocia in the general population is neither feasible nor cost-effective, directing intervention efforts at the particular subgroup of women with a prior history of shoulder dystocia has merit. Potentially modifiable risk factors and individualized management strategies that may reduce shoulder dystocia recurrence and its associated significant morbidities are reviewed.
AB - A prior history of delivery complicated by shoulder dystocia confers a 6-fold to nearly 30-fold increased risk of shoulder dystocia recurrence in a subsequent vaginal delivery, with most reported rates between 12% and 17%. Whereas prevention of shoulder dystocia in the general population is neither feasible nor cost-effective, directing intervention efforts at the particular subgroup of women with a prior history of shoulder dystocia has merit. Potentially modifiable risk factors and individualized management strategies that may reduce shoulder dystocia recurrence and its associated significant morbidities are reviewed.
KW - brachial plexus injury
KW - delivery mode
KW - fetopelvic disproportion
KW - macrosomia
KW - risk management
KW - subsequent pregnancy
UR - http://www.scopus.com/inward/record.url?scp=84988662286&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84988662286&partnerID=8YFLogxK
U2 - 10.1097/GRF.0000000000000229
DO - 10.1097/GRF.0000000000000229
M3 - Article
C2 - 27662541
AN - SCOPUS:84988662286
SN - 0009-9201
VL - 59
SP - 803
EP - 812
JO - Clinical obstetrics and gynecology
JF - Clinical obstetrics and gynecology
IS - 4
ER -