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Minimizing the Risks of Shoulder Dystocia-Related Fetal Injuries

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Shoulder Dystocia and Birth Injury

Summary

The rate of injury can be reduced. Prediction of the complication is not the solution. Prevention does not require prediction. The foundations of the science of medicine were laid down by Hippocrates not Nostradamus!

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References

  1. Nocon JJ, McKensie DK, Thomas LJ, Hansell RS. Shoulder dystocia: An analysis of risks and obstetric maneuvers. Am J Obstet Gynecol 1992;168:1732–1737.

    Google Scholar 

  2. American College of Obstetricians and Gynecologists. Practice Bulletin. Fetal macrosomia. No. 22. Washington, DC: ACOG; 2000.

    Google Scholar 

  3. Bryant DR, Leonardi MR, Landwehr JR, Bottoms SE. Limited usefulness of fetal weight in predicting neonatal brachial plexus injury. Am J Obstet Gynecol 1998;179:686–689

    Article  PubMed  CAS  Google Scholar 

  4. Donelly V, Foran A, Murphy J, McFarland P, Keane D, O’Herlihy C. Neonatal brachial plexus palsy: An unpredictable injury. Am J Obstet Gynecol 2002;187:1209–1212.

    Article  Google Scholar 

  5. Ramieri J, Iffy L. Shoulder dystocia. In: Apuzzio JJ, Vintzileos MA, Iffy L, eds. Operative Obstetrics. 3rd ed. London: Taylor & Francis: 2006:253–263.

    Google Scholar 

  6. Nesbitt TS, Gilbert WM, Herrchen B. Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am J Obstet Gynecol 1998;179:476–480.

    Article  Google Scholar 

  7. Schwartz RC, McClelland D. Shoulder dystocia. Obstet Gynecol 1958;11:468–471.

    Google Scholar 

  8. Seigworth GI. Shoulder dystocia: Review of five years experience. Obstet Gynecol 1966;28:764–767.

    Google Scholar 

  9. Hopwood HG Jr. Shoulder dystocia: Fifteen years’ experience in a community hospital. Am J Obstet Gynecol 1982;144:162–164.

    Google Scholar 

  10. Benedetti TJ, Gabbe SC. Shoulder dystocia: A complication of fetal macrosomia and prolonged second stage of labor with midpelvic delivery. Obstet Gynecol 1978;52:526–529.

    Google Scholar 

  11. Parks GD, Zeil HK. Macrosomia: A proposed indication for primary cesarean section. Obstet Gynecol 1978;52:407–409.

    Google Scholar 

  12. Gross SJ, Shime J, Farine D. Shoulder dystocia: Predictors and outcome. Am J Obstet Gynecol 1987;156:334–336.

    Google Scholar 

  13. Gross TL, Sokol RJ, Williams T. Shoulder dystocia: A fetal-physician risk. Am J Obstet Gynecol 1987;156:1408–1414.

    Google Scholar 

  14. O’Leary JA. Shoulder Dystocia and Birth Injury. New York: McGraw-Hill; 1992.

    Google Scholar 

  15. Mollberg M, Hagberg H, Bager B, Lilja H, Ladorfs L. High birthweight and shoulder dystocia: The strongest risk factor for obstetric brachial plexus palsy in Swedish population-based study. Acta Obstet Gynecol Scand 2005;84:654–659.

    Google Scholar 

  16. Beer E, Mangiante G, Pecorari D. Distocia delle Spalles. Rome, Italy: CIC Edizioni Internazionali ; 2006.

    Google Scholar 

  17. O’Leary JA. Shoulder dystocia. In: Iffy L, Apuzzio JJ, Vintzileos AM, eds. Operative Obstetrics. 2 nd ed. New York: McGraw-Hill; 1992:234–243.

    Google Scholar 

  18. Benedetti TJ. Shoulder dystocia. In: Pauerstein CJ, ed. Clinical Obstetrics. New York: John Wiley & Sons; 1987:871–882.

    Google Scholar 

  19. Hernandez C, Wendel GD. Shoulder dystocia. Clin Obstet Gynecol 1990;33:526–534.

    Google Scholar 

  20. Tawler J, Butler-Manual R. Modern Obstetrics for Student Midwifes. London: Lloyd - Luke Ltd.; 1973:371.

    Google Scholar 

  21. Greenhill JP. Obstetrics. 11th ed. Philadelphia: W.B. Saunders; 1955:983.

    Google Scholar 

  22. Ogueh O, Al-Tarkait A, Vallerand D, Rouah F, Morin L, Benjamin A, Usher RH. Obstetrical factors related to nuchal cord. Acta Obstet Gynecol Scand 2006;85:810–814.

    Google Scholar 

  23. Iffy L, Varadi V. A vallak elakadasaval kapcsolatos magzati serulesek korocki tenyezoi. Magy Noorv Lap (Budapest) 2001;64:365–371.

    Google Scholar 

  24. Chin-Chu L, River J, River P, Blix PM, Moawad AH. Good diabetic control in pregnancy and favorable fetal outcome. Obstet Gynecol 1986;67:51–56.

    Google Scholar 

  25. Schulman H. Uterine dystocia. In: Iffy L, Kaminetzky HA, ed. Principles and Practice of Obstetrics & Perinatology. New York: Wiley; 1981:933–939.

    Google Scholar 

  26. Diegmann EK, Nichols R. Clinical pelvimetry. In: Apuzzio JJ, Vintzileos MA, Iffy L, eds. Operative Obstetrics. 3rd ed. London: Taylor & Francis; 2006:33–40.

    Google Scholar 

  27. Martel MJ, MacKinnon CJ. Guidelines for vaginal birth after previous cesarean birth. J Obstet Gynecol Canada 2004;26:660–663.

    Google Scholar 

  28. Iffy L, Varadi V, Jakobovits A. Common intrapartum denominators of shoulder dystocia related birth injuries. Zbl Gynak 1994;116:33–37.

    Google Scholar 

  29. Gabbe SC, Graves CR. Management of diabetes mellitus complicating pregnancy. Obstet Gynecol 2003;102;857–868.

    Article  PubMed  Google Scholar 

  30. American College of Obstetricians and Gynecologists. Practice Patterns. Shoulder dystocia. No 7. Washington, DC: ACOG; 1997.

    Google Scholar 

  31. Manning FA, Romero R. Sonography in Obstetrics and Gynecology. 5th ed. Stanford, CT: Appleton & Lange; 1991:517–536.

    Google Scholar 

  32. Deter RH, Hadlock FP. Use of ultrasound in detection of macrosomia: A review. J Clin Ultrasound 1985;13:519–524.

    Google Scholar 

  33. DuBose TJ. Assessment of fetal age and size: Techniques and criteria. In: Berman MC, Cohen HL, eds. Diagnostic Medical Sonography. Obstetrics and Gynecology. 2 nd ed. Philadelphia: Lippincott; 1997:359–398.

    Google Scholar 

  34. American College of Obstetricians and Gynecologists. Technical Bulletin. Fetal macrosomia. No. 159. Washington, DC: ACOG; 1991.

    Google Scholar 

  35. Chien PFW, Owen P, Kahn KS. Validity of ultrasound estimation of fetal weight. Obstet Gynecol 2000;95:856–860.

    Article  Google Scholar 

  36. Loeffler FE. Clinical fetal weight. J Obstet Gynaecol Br Commonw 1967;74:675–677.

    Google Scholar 

  37. Best G, Pressman EK. Ultrasonographic prediction of birth weight in diabetic pregnancies. Obstet Gynecol 2002;99:740–744.

    Article  Google Scholar 

  38. McFarland LV, Raskin M, Daling JR, Benedetti TJ. Erb/Duchene’s palsy: A consequence of fetal macrosomia and method of delivery. Obstet Gynecol 1986;68:784–788.

    Google Scholar 

  39. Langer O, Berkus MD, Huff RW. Shoulder dystocia: Should the fetus weighing ≥ 4,000 grams be delivered by cesarean section? Am J Obstet Gynecol 1991;165:831–837.

    Google Scholar 

  40. Rouse DJ, Owen J, Goldenberg RL, Oliver SP. The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. JAMA 1996;276:1480–1488.

    Article  CAS  Google Scholar 

  41. Cohen B, Penning S, Major C, Ansley D, Porto M, Gante T. Sonographic prediction of shoulder dystocia in infants of diabetic mothers. Obstet Gynecol 1996;88:10–13.

    Google Scholar 

  42. Jazayeri A, Heffron JA, Phillips R, Spellacy WN. Macrosomia prediction using ultrasound fetal abdominal circumference of 35 centimeters or more. Obstet Gynecol 1999;93:3–526.

    Article  Google Scholar 

  43. O’Grady JP, Gimovsky ML, Mollhargie CJ. Vacuum Extraction in Modern Obstetric Practice. New York: The Parthenon Publ. Group; 1995:43.

    Google Scholar 

  44. Medical Malpractice, Verdicts, Settlements & Experts, Vol. 18, No 10, October 2000.

    Google Scholar 

  45. Weingold AP. The management of breech presentation. In: Iffy L, Charles D, eds. Operative Perinatology. New York: Macmillan; 1984:537–553.

    Google Scholar 

  46. Dhanraj DN, Baggish MS. The vacuum extractor (ventouse) for obstetric delivery. In: Apuzzio JJ, Vintzileos MA, Iffy L, eds. Operative Obstetrics. 3rd ed. London: Taylor & Francis; 2006:299–310.

    Google Scholar 

  47. Roseveas SK, Stirrat GM. Handbook of Obstetric Management. Oxford: Blackwell Science; 1996:251.

    Google Scholar 

  48. Szabo I. Koros vajudas es szules. In: Papp Z, ed. A Szuleszet-Nogyogyaszat Tankonyve. Budapest: Semmelweis Konyvklado; 1999:397–490.

    Google Scholar 

  49. Bryant RD, Danforth DN. Conduct of normal labor. In: Danforth DN, ed. Textbook of Obstetrics and Gynecology. 2 nd ed. New York: Harper & Row; 1971:581–584.

    Google Scholar 

  50. Bottoms SF, Sokol RJ. Mechanisms and conduct of labor. In: Iffy L, Kaminetzky HA, eds. Principles and Practice of Obstetrics & Perinatology. New York: Wiley; 1981:815–838.

    Google Scholar 

  51. Iffy L, Apuzzio J, Ganesh V. A randomized controlled trial of prophylactic maneuvers to reduce head-to-body delivery time in patients at risk of shoulder dystocia. Obstet Gynecol 2003;102:1089–1090.

    Article  Google Scholar 

  52. Iffy L. Shoulder dystocia. Am J Obstet Gynecol 1987;156:1416.

    Google Scholar 

  53. Stallings SP, Edwards RK, Johnson JWC. Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis. Am J Obstet Gynecol 2001;185: 268–274.

    Google Scholar 

  54. Ramsey EM. Anatomy and pathology of uteroplacental circulation. In: Kaminetzky HA, Iffy L, eds. New Techniques and Concepts in Maternal and Fetal Medicine. New York: Van Nostrand Reinhold;1979:5–18.

    Google Scholar 

  55. Garrey MM, Govan ADT, Hodge C, Callander R. Obstetrics Illustrated. 2 nd ed. Edinburgh: Churchill Livingstone;1974:209–210.

    Google Scholar 

  56. Friedberg V, Heirsche HD. Geburtshilfe. Stuttgart: Georg Thieme Verlag; 1975:125–127.

    Google Scholar 

  57. Walker J, MacGillivray I, MacNaughton MC. Obstetrics and Gynecology. 9th ed. Edinburgh: Churchill Livingstone; 1976:318–397.

    Google Scholar 

  58. von Martius G. Lehrbuch der Geburtshilfe. Stuttgart: Georg Thieme Vertag; 1977:272–274.

    Google Scholar 

  59. Lampe L. Szuleszet Nogyogyaszat. Vol. 2. Budapest: Medicina;1981:418–419.

    Google Scholar 

  60. Munteanu I, Karadja V. Nasterea normala. In: Munteanu, ed. Tratat de Obstetrica. Bucuresti: Editura Academiei Romane; 2000:355–415.

    Google Scholar 

  61. Gaal J. Elettani vajudas es szules. In: Papp Z, ed. Szuleszet-Nogyogyaszati Protokoll. Budapest: Golden Book Publ;1999:291–299.

    Google Scholar 

  62. Moir JC. Munro Kerr’s Operative Obstetrics. 7th ed. London: Bailliere, Tindall and Cox; 1964.

    Google Scholar 

  63. Merger R, Levy J, Melchior J. Precis d’Obstetrique. Paris: Masson; 1977.

    Google Scholar 

  64. Myerscough PR. Munro Kerr’s Operative Obstetrics. 9th ed. London: Bailliere Tindall; 1977.

    Google Scholar 

  65. Eastman NJ, Hellman LM. Williams Obstetrics. 12th ed. New York: Appleton-Century-Crofts; 1961:448–449.

    Google Scholar 

  66. Ledger WJ. Labor and delivery. In: Willson RJ, Carrington ER, Ledter WJ, eds. Obstetrics and Gynecology. 7th ed. St. Louis: CV Mosby; 1983:381–414.

    Google Scholar 

  67. Cunningham FG, MacDonald PC, Gant NF, Leveno KJ, Gilstrap III LC. Williams Obstetrics. 19th ed. Norwalk, CT: Appleton & Lange; 1993:381–383.

    Google Scholar 

  68. Russell KP. The course and conduct of normal labor and delivery. In: Pernoll ML, Benson RC, eds. Current Obstetric & Gynecologic Diagnosis & Treatment. 6th ed. Norwalk, CT: Appleton & Lange; 1987:178–203.

    Google Scholar 

  69. Norwitz ER, Robinson JN, Repke JT. Labor and delivery. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics. 4th ed. New York: Churchill Livingstone; 2002:353–394.

    Google Scholar 

  70. Oxorn H. Human Labor & Birth. Norwalk, CT: Appleton-Century-Croft; 1986:140–141.

    Google Scholar 

  71. Bryant RD, Danforth DN. Conduct of normal labor. In: Danforth DN, ed. Textbook of Obstetrics and Gynecology. 2 nd ed. New York: Harper & Row; 1971:561–584.

    Google Scholar 

  72. Bennet VR, Brown LK. Myles Textbook for Midwives. 12th ed. Edinburgh: Churchill Livingstone; 1993:208–209.

    Google Scholar 

  73. Myles M. Textbook for Midwives. 10th ed. Edinburgh: Churchill Livingstone; 1985:313–314.

    Google Scholar 

  74. Iffy L, Varadi V. Cerebral palsy following cutting of the nuchal cord before delivery. Med Law 1994;13:323–330.

    Google Scholar 

  75. Flamm BL. Tight nuchal cord and shoulder dystocia: A potentially catastrophic combination. Obstet Gynecol 1999;94:853.

    Article  Google Scholar 

  76. Mercer JS, Skovgaard RL, Peareara-Eaves J, Bowman TA. Nuchal cord management and nurse-midwifery practice. J Midwifery Women’s Health 2005;50:373–379.

    Article  Google Scholar 

  77. Iffy L, Gittens-Williams LN. Shoulder dystocia and nuchal cord [letter]. Acta Obstet Gynecol Scand 2007;86:523.

    Google Scholar 

  78. Iffy L, Varadi V, Papp E. Untoward neonatal sequelae deriving from cutting of the umbilical cord before delivery. Med Law 2001;20:627–634.

    Google Scholar 

  79. Stenchever MA, Gittens-Williams LN. Normal vaginal delivery. In: Apuzzio JJ, Vintzileos MA, Iffy L, eds. Operative Obstetrics. 3rd ed. London: Taylor & Francis; 2006:241–252.

    Google Scholar 

  80. Gherman RB, Ouzounian JG, Goodwin TM. Brachial plexus palsy: An in utero injury? Am J Obstet Gynecol 1999;180:1303–1307.

    Google Scholar 

  81. Sandmire HF, DeMott RK. Erb’s palsy: Concepts of causation. Obstet Gynecol 2000;85:940–942.

    Google Scholar 

  82. Hanna ME, Hanna J, Dawson SA, Hodnett Ed, Saigal S, William AR. Planned cesarean section versus planned vaginal birth for breech presentation at term: A randomized multicentre trial. Lancet 2000; 356:1375–1383.

    Google Scholar 

  83. O’Leary JA. Vaginal delivery of the term breech. Obstet Gynecol 1979;53:341–343.

    Google Scholar 

  84. Lumley J. Any room left for disagreement about assisting breech birth at term? Lancet 2000;356:1368–1369.

    Article  Google Scholar 

  85. American College of Obstetricians and Gynecologists. Mode of term singleton breech delivery. ACOG Committee Opinion No. 265. Washington, DC: ACOG; 2001.

    Google Scholar 

  86. American College of Obstetricians and Gynecologists. Practice Bulletin. Shoulder dystocia. No. 40. Washington, DC: ACOG; 2002.

    Google Scholar 

  87. Chien PFW, Owen P, Khan KS. Validity of ultrasound estimation of fetal weight. Obstet Gynecol 2000;1995:856–860.

    Google Scholar 

  88. O’Leary J, Leonetti H. Shoulder dystocia: Prevention and treatment. Am J Obstet Gynecol 1990;162:5–9.

    PubMed  Google Scholar 

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  1. Professor of Obstetrics & Gynecology, University of Medicine & Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, USA

    Leslie Iffy

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  1. Leslie Iffy
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James A. O'Leary

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Iffy, L. (2009). Minimizing the Risks of Shoulder Dystocia-Related Fetal Injuries. In: O'Leary, J. (eds) Shoulder Dystocia and Birth Injury. Humana Press. https://doi.org/10.1007/978-1-59745-473-5_15

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  • DOI: https://doi.org/10.1007/978-1-59745-473-5_15

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