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Archives of Gynecology and Obstetrics

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01-12-2016 | Maternal-Fetal Medicine

Recurrent shoulder dystocia: is it predictable?

Authors: Vered Kleitman, Roi Feldman, Asnat Walfisch, Ronen Toledano, Eyal Sheiner

Published in: Archives of Gynecology and Obstetrics | Issue 6/2016

Abstract

Objective

To examine the course and outcome of deliveries occurring in women who previously experienced shoulder dystocia. In addition, recurrent shoulder dystocia risk factors were assessed.

Methods

A retrospective cohort analysis comparing all singleton deliveries with and without shoulder dystocia in their preceding delivery was conducted. Independent predictors of recurrent shoulder dystocia were investigated using a multiple logistic regression model.

Results

Of the 201,422 deliveries included in the analysis, 307 occurred in women with a previous shoulder dystocia (0.015 %). Women with a history of shoulder dystocia were more likely to be older, experienced higher rates of gestational diabetes mellitus, polyhydramnios, prolonged second stage, operative delivery and macrosomia (>4000 g) in the following delivery. Previous shoulder dystocia was found to be an independent risk factor for recurrent shoulder dystocia (OR = 6.1, 95 % CI 3.2–11.8, p value <0.001) in the multivariable regression analysis.

Conclusions

Shoulder dystocia is an independent risk factor for recurrent shoulder dystocia. Deliveries in women with a history of shoulder dystocia are characterized by higher rates of operative delivery, prolonged second stage of labor and macrosomia.

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Title: Recurrent shoulder dystocia: is it predictable?
Authors: Vered Kleitman
Roi Feldman
Asnat Walfisch
Ronen Toledano
Eyal Sheiner
Publication date: 01-12-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 6/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-016-4139-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Recurrent shoulder dystocia: is it predictable?

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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