干旱区生态环境知识资源中心(Arid): Obstetrics injuries during shoulder dystocia in a tertiary perinatal center

Arid

DOI	10.1016/j.ejogrb.2022.09.009
	Obstetrics injuries during shoulder dystocia in a tertiary perinatal center
	Habek, Dubravko; Prka, Matija; Luetic, Ana Tikvica; Marton, Ingrid; Medic, Filip; Miletic, Antonio Ivan
通讯作者	Habek, D
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2022
卷号	278 页码:33-37
英文摘要	Objectives: This study will present our results in management of fetal shoulder dystocia with special consideration of maternal and neonatal outcome. Study design.A retrospective study was performed at a university tertiary perinatal center. The study included data of singleton vaginal term deliveries in the period of 15 years (2006-2020). Analized informations include: ob-stetrics maternal and neonatal data and outcomes.Results: This period included 45,687 deliveries with diagnosed shoulder dystocia in 254 (0.7 %) cases in vaginal deliveries. Most of the deliveries were spontaneous births 69.7 %, induced deliveries 30.3 %, 47.2 % primiparas and preexisting or gestational diabetes in 21.7 %. The delivery was managed by vacuum extraction in 13.8 %, mediolateral episiotomy in 48.0 % of births, most of the shoulder dystocia were unilateral anterior, while only two cases were diagnosed as more difficult bilateral and 5 cases were recurrent. 87.4 % cases were resolved by McRobert's maneuver, 7.8 % by Barnum's 3.9 % by Wood's maneuver and one case was managed by Menti-coglou and by Bourgoise-Siegemundin maneuver. 4.3 % injuries were classified as OASIS of III/IV degree, early postpartum hemorrhage due in 1.6 %. 54.3 % of newborns were male sex, 61.0 % of newborns had birth weight of above 4000 g (mean 4071 g). Maximal Apgar scores were atributed to 92.5 % in first and to 97.2 % in fifth minute, one case that requaired resuscitation. Clavicle fracture was found in 9.5 %, humerus fracture in 0.4 %, transient form of Duchenne Erb obstetrics brachial palsy was diagnosed in only in 7.5 % newborns, while we have not found any case of permanent brachial palsy.Conclusions: Our results confirmed that strategy of prompt identification of shoulder dystocia accompanied by cessation of axial fetal head traction decrease the risk of brachial plexus strain, injury or tear, while performance of exact obstetrical maneuvers resulted in decanceration of fetal shoulders without permanent obstetrics brachial palsy or cerebral morbidity. We think that our good results corelate with our opinion that the performance of external obstetrical manoeuvres should be done without one minute postpone since efforts should be put in sooner shoulder liberation decreasing the time of fetal hypoxia.
英文关键词	Shoulder dystocia Delivery Injuries Maternal morbidity Neonatal morbidity Shoulder dystocia Delivery Injuries Maternal morbidity Neonatal morbidity
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000877364400007
WOS关键词	TIME
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/392562
推荐引用方式 GB/T 7714	Habek, Dubravko,Prka, Matija,Luetic, Ana Tikvica,et al. Obstetrics injuries during shoulder dystocia in a tertiary perinatal center[J],2022,278:33-37.
APA	Habek, Dubravko,Prka, Matija,Luetic, Ana Tikvica,Marton, Ingrid,Medic, Filip,&Miletic, Antonio Ivan.(2022).Obstetrics injuries during shoulder dystocia in a tertiary perinatal center.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,278,33-37.
MLA	Habek, Dubravko,et al."Obstetrics injuries during shoulder dystocia in a tertiary perinatal center".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 278(2022):33-37.