shoulder dystocia/hypoxia

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Is fetal manipulation during shoulder dystocia management associated with severe maternal and neonatal morbidities?

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There is a lack of data regarding maternal morbidity and neonatal hypoxia associated with shoulder dystocia (SD), particularly with respect to whether SD is managed with our without fetal manipulation (FM). Our main objective was to compare severe maternal and neonatal morbidities associated with SD

The Zavanelli maneuver for fetal shoulder dystocia. Three cases with poor outcomes.

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BACKGROUND There are several reports on the management of severe fetal shoulder dystocia by pushing the head back into the vagina and delivering the infant by cesarean section; this procedure is called the Zavanelli maneuver. METHODS Three cases were reviewed to determine the outcomes of the

[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

Shoulder Dystocia: Managing an Obstetric Emergency

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Shoulder dystocia is an obstetric emergency in which normal traction on the fetal head does not lead to delivery of the shoulders. This can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma, including damage to the bladder, anal sphincter, and rectum, and postpartum hemorrhage.

Shoulder dystocia: nursing prevention and posttrauma care.

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Shoulder dystocia is a birth emergency that occurs in approximately 1% of all births. Shoulder dystocia can be followed by broken clavicle or humerus, brachial plexus injury, fetal hypoxia, or death. Although risk factors for shoulder dystocia include previous birth complicated by shoulder dystocia,

[Medical forensic expertise in obstetrics].

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Obstetrics is a profession where high risk and unpredictable emergency conditions are frequently encountered, potentially entailing numerous professional, legal and moral consequences. Forensic obstetrics is based on good clinical practice, state-of-the-art and ethical-deontological principles,

Brachial Plexus Birth Injury: Epidemiology and Birth Weight Impact on Risk Factors.

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Brachial plexus birth injury (BPBI) is a condition in which the brachial plexus is thought to be damaged during the birth process. Studies have cited a varying incidence rate ranging from 0.5 to 4.0 per 1000 live births. The purpose of this study is to evaluate birth claims data over a

[External over-rotation of the head in the treatment of high longitudinal shoulder position].

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The shoulder dystocias are an anomaly of shoulder presentation which render difficult or prevent complete extraction of the trunk following birth of the head. Acute hypoxia ensues, threatening the infant's life. Additionally, termination of delivery, which must be effected without delay and is

Antepartum findings and obstetric aspects in pregnancies followed by neonatal persistent hyperinsulinemic hypoglycemia.

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In this study we report antepartum and obstetric findings in cases of persistent hyperinsulinemic hypoglycemia of infancy (PHHI). The study is retrospective and covers the years 1983 to 1994, when there were 9 infants treated for PHHI in the region of the University Hospital of Kuopio. One of the

Is Embryo Cryopreservation Causing Macrosomia-and What Else?

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The number of embryos transferred during an IVF cycle is directly related to the high incidence of multiple births, which is the culprit of perinatal morbidity. Therefore, single fresh embryo transfer (ET) strategy, or freeze-all, followed by a single frozen-thawed embryo transfer (FET) cycle, may

Brachial Plexus Birth Injury: Epidemiology and Birth Weight Impact on Risk Factors

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Background: Brachial plexus birth injury (BPBI) is a condition in which the brachial plexus is thought to be damaged during the birth process. Studies have cited a varying incidence rate ranging from 0.5 to 4.0 per 1000 live births. The purpose of this study is to

The Epidemiology of Brachial Plexus Birth Palsy in the United States: Declining Incidence and Evolving Risk Factors.

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BACKGROUND The epidemiology of brachial plexus birth palsy (BPBP) in the United States may be changing over time due to population-level changes in obstetric care. METHODS The Kids' Inpatient Database from 1997 to 2012 was analyzed. Annual estimates of BPBP incidence and disease determinant

Umbilical Cord Blood Gas Analysis, Obstetric Performance and Perinatal Outcome.

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OBJECTIVE To analyze if umbilical artery pH (pHua) ≤7.00 and umbilical artery blood deficit (BDua) ≥12.00 mmol/L are good predictors of adverse neonatal outcomes. METHODS This was an observational, longitudinal and retrospective cohort study, conducted at the department of obstetrics and gynecology

The effectiveness of training in emergency obstetric care: a systematic literature review.

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Providing quality emergency obstetric care (EmOC) reduces the risk of maternal and newborn mortality and morbidity. There is evidence that over 50% of maternal health programmes that result in improving access to EmOC and reduce maternal mortality have an EmOC training component. The objective was

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