TY - JOUR
T1 - Recurrent Shoulder Dystocia
T2 - Risk Factors and Counseling
AU - Gurewitsch Allen, Edith
PY - 2016/9/21
Y1 - 2016/9/21
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.
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
JO - Clinical Obstetrics and Gynecology
JF - Clinical Obstetrics and Gynecology
SN - 0009-9201
ER -