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Updated: Jun 15, 2026

Reverse Total Shoulder Arthroplasty
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Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Recurrent shoulder dystocia: a review.

Jemel Bingham1, Suneet P Chauhan, Edward Hayes

  • 1Division of Maternal-Fetal Medicine, Aurora Health Care, Milwaukee, WI, USA.

Obstetrical & Gynecological Survey
|March 11, 2010
PubMed
Summary
This summary is machine-generated.

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Recurrent shoulder dystocia occurs in about 12% of subsequent pregnancies. Brachial plexus injury risk is higher with recurrent shoulder dystocia than with the first occurrence.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Clinical Epidemiology

Background:

  • Shoulder dystocia is a known obstetric complication.
  • Understanding the recurrence risk and associated injuries is crucial for patient counseling and management.
  • Previous shoulder dystocia increases the risk of recurrence.

Purpose of the Study:

  • To determine the incidence of recurrent shoulder dystocia.
  • To ascertain the incidence of brachial plexus injury in cases of recurrent shoulder dystocia.
  • To compare the risk of brachial plexus injury in primary versus recurrent shoulder dystocia.

Main Methods:

  • A systematic literature search was conducted in PubMed from 1980 to March 2009.
  • Data from 191 publications were screened, with 9 providing complete data for analysis.

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Last Updated: Jun 15, 2026

Reverse Total Shoulder Arthroplasty
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Published on: July 5, 2011

  • Odds ratios (OR) and 95% confidence intervals (CI) were calculated to assess risk.

    • Main Results:

    • The incidence of shoulder dystocia in prior pregnancies was 1.64%.
    • The rate of recurrent shoulder dystocia in subsequent vaginal births was 12% (OR, 8.25).
    • Brachial plexus injury occurred more frequently in recurrent shoulder dystocia (4%) compared to the first episode (1%), with rates of 45/1000 vs. 13/1000 births.

    Conclusions:

    • Approximately 12% of women with a history of shoulder dystocia experience recurrence (1 in 8 risk).
    • Brachial plexus injury incidence is higher in recurrent shoulder dystocia (45/1000 births) than in the first episode (19/1000 births).
    • These findings highlight the increased risks associated with recurrent shoulder dystocia and inform clinical management strategies.