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Creado el : 02 Aug 2014
Alterado em : 02 Aug 2014

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Ficha bibliográfica (sin autores) :

Is an episiotomy necessary with a shoulder dystocia? - American Journal of Obstetrics & Gynecology - Vol. 205, 3 - ISBN: 0002-9378 - p.217.e1-217.e3

Autores :

Paris, Amy E.; Greenberg, James A.; Ecker, Jeffrey L.; McElrath, Thomas F.

Año de publicación :

2011

URL(s) :

http://www.ajog.org/article/S0002937811004522/abst…
https://doi.org/10.1016/j.ajog.2011.04.006

Résumé (français)  :

Abstract (English)  :

Objective
The objective of the study was to determine whether a decrease in the use of episiotomy was associated with a change in the frequency of brachial plexus injury.
Study Design
All births at Brigham and Women’s Hospital from Sept. 1, 1998, through Aug. 31, 2009, were reviewed. The total number of births, mode of delivery, shoulder dystocias, episiotomies with and without shoulder dystocias, and brachial plexus injuries were recorded. A nonparametric test of trend was performed.
Results
There were a total of 94,842 births, 953 shoulder dystocias, and 102 brachial plexus injuries. The rate of episiotomy with shoulder dystocia dropped from 40% in 1999 to 4% in 2009 (P = .005) with no change in the rate of brachial plexus injuries per 1000 vaginal births.
Conclusion
Despite historical recommendations for an episiotomy to prevent brachial plexus injury when a shoulder dystocia is encountered, the trend we observed does not suggest benefit from this practice.

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Palabras claves :

➡ episiotomía

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Import 02/08/2014 — 02 Aug 2014