Abstract
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 language | English (US) |
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Pages (from-to) | 185-195 |
Number of pages | 11 |
Journal | Seminars in Perinatology |
Volume | 31 |
Issue number | 3 |
DOIs | |
State | Published - Jun 2007 |
Externally published | Yes |
Keywords
- 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