کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3952476 | 1600442 | 2006 | 5 صفحه PDF | دانلود رایگان |
Objective: To evaluate a possible reduction in shoulder diameter and circumference by extending the posterior arm during delivery, for an easier birth in cases of shoulder dystocia. Methods: In this study of 33 neonates the bisacromial diameter and axilloacromial circumference were measured within 72 h of birth, first with the neonate's arms by its chest and then with 1 arm extended above its head. Reductions in diameter and circumference were evaluated. Results: The mean ± SD differences in bisacromial diameter and axilloacromial circumference were 1.9 ± 0.69 cm and 2.52 ± 1.18 cm, respectively. A greater reduction was observed in neonates with a greater shoulder diameter. Conclusion: In cases of shoulder dystocia, delivery of the posterior arm should significantly reduce shoulder dimensions, especially in larger fetuses, and prevent a need for excessive traction.
Journal: International Journal of Gynecology & Obstetrics - Volume 93, Issue 3, June 2006, Pages 233–237