shoulder dystocia/obesitas

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Maternal prepregnancy obesity and the risk of shoulder dystocia: a meta-analysis.

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BACKGROUND Results from epidemiological studies about the association between maternal prepregnancy obesity and the risk of shoulder dystocia are inconsistent. OBJECTIVE To evaluate the effect of maternal prepregnancy obesity on the risk of shoulder dystocia. METHODS We searched PubMed and the Web

Is maternal obesity a predictor of shoulder dystocia?

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OBJECTIVE To explore the relationship between maternal obesity and shoulder dystocia while controlling for the potential confounding effects of other variables associated with obesity. METHODS We performed a case-control study of provincial delivery records audited by the Northern and Central

Re: Maternal prepregnancy obesity and the risk of shoulder dystocia: a meta-analysis.

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Shoulder dystocia in diabetic and non-diabetic pregnancies.

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OBJECTIVE Shoulder dystocia remains an obstetric emergency. Maternal diabetes is considered to be one of the major risk factors for shoulder dystocia. The aim of this study was to analyze antepartum and peripartum risk factors and complications of shoulder dystocia in diabetic and non-diabetic

What factors are associated with neonatal injury following shoulder dystocia?

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OBJECTIVE To identify factors associated with the development of neonatal injury in the setting of shoulder dystocia. METHODS Medical record ICD-9 codes and a computerized perinatal database were reviewed to identify cases of shoulder dystocia from January 1996 to January 2001 in a tertiary care

[Shoulder dystocia--consequences and procedures].

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Shoulder dystocia is defined as a standstill of delivery after the birth of the head and is attributed to an insufficient rotation of the shoulder. Risk factors include a history of prior macrosomia or shoulder dystocia, maternal obesity or excessive weight gain during pregnancy, maternal diabetes

[Antepartal maternal risks for shoulder dystocia. An analysis of 224 744 births spontanous and vaginal and after the 37th week of gestation born in Hessen (2002-2008)].

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PATIENTS RESPECTIVELY AND METHODS: 224,744 vaginal and spontanous births >or= the 37 (th) week of gestation were analysed (2002-2008) to calculate the maternal risks for shoulder dystocia (obesity BMI >30, high maternal weight gain >15 kg during pregnancy, Diabetes mellitus, Diabetes of gestation,

Maternal and anthropomorphic risk factors for shoulder dystocia.

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OBJECTIVE To study maternal and anthropomorphic parameters as potential risk factors for shoulder dystocia. METHODS From a series of 9667 vaginal deliveries between January 1998 and December 2003, a total of 138 cases complicated by shoulder dystocia were retrospectively identified and compared with

Contemporary management of shoulder dystocia.

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Shoulder dystocia is an uncommon but potentially catastrophic intrapartum event. Although risk factors such as maternal diabetes, obesity and macrosomia can be identified, shoulder dystocia most frequently occurs in patients who lack risk factors. Many maneuvers have been described to assist the

[Prediction of shoulder dystocia--combining foetal weight estimation by ultrasound and maternal risk factors--a solution for the dilemma?].

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BACKGROUND Although foetal macrosomia is a known risk factor for shoulder dystocia, foetal weight estimation by ultrasound is imprecise. METHODS We analysed in a retrospective, single-centre study whether the combination of foetal sonographic parameters and maternal parameters could improve the

Abdominal Access for Shoulder Dystocia as a Last Resort - a Case Report.

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Shoulder dystocia is the term used to describe failure to progress in labour after the head has been delivered due to insufficient rotation of the shoulders. It is unpredictable and cannot be prevented by the midwife or the obstetrician. We report here on a severe case of shoulder dystocia, where

[Shoulder dystocia--risk factors and fetal outcome].

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The purpose of this retrospective study is to evaluate the perinatal outcome in cases with birth injuries, suggesting shoulder dystocia. This survey involves 92 cases of live newborns (gestational age between 37 and 42 weeks) with shoulder injuries. Another control group of 120 cases of live mature

Can shoulder dystocia be predicted? Preconceptive and prenatal factors.

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OBJECTIVE To evaluate the predictability of shoulder dystocia using preconceptive and prenatal risk factors. METHODS Data from 1,622 term patients with prenatal care prior to 20 weeks who delivered single, vertex fetuses during a consecutive 12-month period were analyzed. Two groups were chosen. The

Shoulder dystocia. A complication of fetal macrosomia and prolonged second stage of labor with midpelvic delivery.

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Shoulder dystocia is an infrequently encountered obstetric emergency varying in incidence from 0.15 to 0.60% of all deliveries. Previously identified risk factors include maternal obesity, previous infants weighing greater than 4 kg, maternal diabetes, and fetal macrosomia (greater than 4 kg). To

Shoulder dystocia: prevention and treatment.

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Although shoulder dystocia is an infrequent event it has assumed a position of great clinical importance because of our litigious environment. Many cases are preventable by the proper identification of risk factors, especially glucose intolerance, macrosomia, obesity, and postdate pregnancies. The

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