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- Title
Maternal and anthropomorphic risk factors for shoulder dystocia.
- Authors
Mazouni, Chafika; Porcu, Géraldine; Cohen-Solal, Emmanuelle; Heckenroth, Helene; Guidicelli, Beatrice; Bonnier, Pascal; Gamerre, Marc
- Abstract
Objective. To study maternal and anthropomorphic parameters as potential risk factors for shoulder dystocia. Material and method. From a series of 9667 vaginal deliveries between January 1998 and December 2003, a total of 138 cases complicated by shoulder dystocia were retrospectively identified and compared with a control group of 138 uncomplicated vaginal deliveries. In addition to maternal age, parity, diabetes, body mass index (BMI), and ethnicity, anthropo-metric factors including maternal height-to-infant weight ratio, characteristics of labor, management techniques, and outcome were evaluated as possible risk factors for shoulder dystocia. Results. The overall incidence of shoulder dystocia in this retrospective series of vaginal deliveries was 1.4%. In univariate analysis, maternal obesity (OR; 95% CI: 3.6; 2.1–6.3), diabetes (OR: 19.4; 2.5–145.7), parity greater than 2 (OR: 2.5; 1.4–4.4), maternal height-to-infant weight ratio (OR: 1.02; 1.01–1.04; P
- Subjects
SHOULDER dystocia; FETAL presentation; LABOR complications (Obstetrics); EPISIOTOMY; OBSTETRICS surgery; SPHINCTERS; OBSTETRICAL emergencies
- Publication
Acta Obstetricia et Gynecologica Scandinavica, 2006, Vol 85, Issue 5, p567
- ISSN
0001-6349
- Publication type
Article
- DOI
10.1080/00016340600605044