Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3836969 | Seminars in Perinatology | 2007 | 11 Pages |
Abstract
Among risk factors for shoulder dystocia, a prior history of delivery complicated by shoulder dystocia is the single greatest risk factor for shoulder dystocia occurrence, with odds ratios 7 to 10 times that of the general population. Recurrence rates have been reported to be as high as 16%. Whereas prevention of shoulder dystocia in the general population is neither feasible nor cost-effective, intervention efforts directed at the particular subgroup of women with a prior history of shoulder dystocia can concentrate on potentially modifiable risk factors and individualized management strategies that can minimize recurrence and the associated significant morbidities and mortality.
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Authors
Edith D. Gurewitsch, Tara L. Johnson, Robert H. Allen,