After Shoulder Dystocia: Managing the Subsequent Pregnancy and Delivery

Edith D. Gurewitsch, Tara L. Johnson, Robert H. Allen

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


Among risk factors for shoulder dystocia, a prior history of delivery complicated by shoulder dystocia is the single greatest risk factor for shoulder dystocia occurrence, with odds ratios 7 to 10 times that of the general population. Recurrence rates have been reported to be as high as 16%. Whereas prevention of shoulder dystocia in the general population is neither feasible nor cost-effective, intervention efforts directed at the particular subgroup of women with a prior history of shoulder dystocia can concentrate on potentially modifiable risk factors and individualized management strategies that can minimize recurrence and the associated significant morbidities and mortality.

Original languageEnglish (US)
Pages (from-to)185-195
Number of pages11
JournalSeminars in Perinatology
Issue number3
StatePublished - Jun 2007
Externally publishedYes


  • brachial plexus palsy
  • history of shoulder dystocia
  • injury prevention
  • prior shoulder dystocia
  • recurrence
  • risk management

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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