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[Shoulder dystocia: a ten-year descriptive study in a level-III maternity unit]
S Lima1, C Chauleur, M-N Varlet
1Service de gynécologie-obstétrique, hôpital Nord, CHU de Saint-Etienne, avenue Albert-Raimond, 42270 Saint-Priest, Jarez, France.
Gynecologie, Obstetrique & Fertilite
|April 21, 2009
Summary
Shoulder dystocia, a delivery complication, occurred in 0.3% of cases. Risk factors include multiparity and post-term delivery, with 9% of neonates experiencing brachial plexus injuries.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Neonatal Health
Context:
- Shoulder dystocia is a significant obstetric emergency during vaginal delivery.
- It presents substantial risks for both mother and neonate.
- Understanding its risk factors and outcomes is crucial for clinical practice.
Purpose:
- To evaluate risk factors associated with shoulder dystocia.
- To assess maternal and neonatal complications.
- To investigate the recurrence risk of shoulder dystocia.
Summary:
- This observational study analyzed 66 cases of shoulder dystocia over a decade.
- Identified risk factors included multiparity, excessive maternal weight gain, and post-term delivery.
- Neonatal complications comprised brachial plexus injuries (9%) and skeletal fractures (7.5%). Maternal morbidity was 8%, with a 20% recurrence rate.
Impact:
- Highlights the incidence and key risk factors of shoulder dystocia.
- Provides data on neonatal and maternal morbidity associated with this complication.
- Emphasizes the need for prompt management and staff training to improve outcomes.
