Recurrent Shoulder Dystocia: Risk Factors and Counseling

被引:3
|
作者
Allen, Edith D. Gurewitsch [1 ,2 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Gynecol & Obstet, Phipps 207, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Dept Biomed Engn, Phipps 207, Baltimore, MD 21205 USA
来源
CLINICAL OBSTETRICS AND GYNECOLOGY | 2016年 / 59卷 / 04期
关键词
macrosomia; risk management; brachial plexus injury; fetopelvic disproportion; subsequent pregnancy; delivery mode; BRACHIAL-PLEXUS PALSY; FETAL MACROSOMIA; EXPECTANT MANAGEMENT; CESAREAN-SECTION; DELIVERY; INDUCTION; PREGNANCY; INJURY; LABOR; ANTEPARTUM;
D O I
10.1097/GRF.0000000000000229
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
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.
引用
收藏
页码:803 / 812
页数:10
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