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01-04-2013

Association of Head Circumference and Shoulder Dystocia in Macrosomic Neonates

Authors: Austin Larson, David E. Mandelbaum

Published in: Maternal and Child Health Journal | Issue 3/2013

Abstract

To determine whether asymmetric macrosomia (disproportionately large body size in comparison to head circumference) could be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer from shoulder dystocia. A case–control study was conducted as a retrospective chart review over 3 years at a large maternity hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.

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Title: Association of Head Circumference and Shoulder Dystocia in Macrosomic Neonates
Authors: Austin Larson
David E. Mandelbaum
Publication date: 01-04-2013
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 3/2013
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-012-1013-z

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Association of Head Circumference and Shoulder Dystocia in Macrosomic Neonates

Abstract

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