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Bibliographical entry (without author) : | Shoulder dystocia: predictors and outcome. A five-year review. Am J Obstet Gynecol. 1987 Feb;156(2):334-6. |
Author(s) : | Gross SJ, Shime J, Farine D. |
Year of publication : | 1987 |
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Résumé (français) : |
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Abstract (English) : | Shoulder dystocia is an uncommon complication of delivery with a high morbidity rate. Ninety-one cases were coded for shoulder dystocia at the Toronto General Hospital from 1980 through 1985. True shoulder dystocia was found in 24 cases, an incidence of 0.23%. There was no significant difference in average weight and percentage of macrosomia between cases of true shoulder dystocia and those merely coded as such. True shoulder dystocia was associated with a neonatal morbidity rate of 42%, consisting of a respiratory arrest and neurological and orthopedic damage. Fundal pressure, in the absence of other maneuvers, resulted in a 77% complication rate and was strongly associated with orthopedic and neurologic damage. Delivery of the posterior shoulder and the corkscrew maneuver were associated with good fetal outcome. |
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Resumen (español) : |
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Argument (français) : | Les dystocies des épaules vraies sont rares, mais hautement morbides. Associé à l’expression abdominale le taux de séquelles neurologiques et orthopédiques atteint 77%. |
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Argumento (português): |
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Keywords : | ➡ dystocy ; fundal pressure ; morbidity |
Author of this record : | Cécile Loup — 26 Jul 2004 |
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