کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
9052010 1563228 2005 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Shoulder Dystocia: Etiology, Common Risk Factors, and Management
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی مامایی
پیش نمایش صفحه اول مقاله
Shoulder Dystocia: Etiology, Common Risk Factors, and Management
چکیده انگلیسی
Shoulder dystocia and brachial plexus injury occur in 0.5% to 1.5% of all births. Risk factors for both include maternal obesity, excessive prenatal weight gain, maternal diabetes, protracted labor, and fetal macrosomia. These factors are involved in only about 50% of births complicated by shoulder dystocia or brachial plexus injury. Shoulder dystocia has a low recurrence rate (9.8%-16.7%), although history of previous shoulder dystocia is the most reliable predictor of occurrence. Brachial plexus injury is the most common morbidity associated with shoulder dystocia, but 50% of newborns who present with this injury were not subject to shoulder dystocia at birth. Most brachial plexus injuries are transient, although 5% to 22% become permanent. Shoulder dystocia followed by permanent brachial plexus injury or mental impairment is one of the leading causes of malpractice allegations. Prompt assessment and management of shoulder dystocia and preparation to maximize the efficiency of shoulder dystocia maneuvers are critical. Documentation of the appropriate use of maneuvers to relieve shoulder dystocia demonstrates standard of care practice, thereby decreasing the potential for successful malpractice allegations.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Midwifery & Women's Health - Volume 50, Issue 6, November–December 2005, Pages 485-497
نویسندگان
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