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Updated: Jun 15, 2026

Reverse Total Shoulder Arthroplasty

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

Summary

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.

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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

Reverse Total Shoulder Arthroplasty

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.