Predictors of shoulder dystocia at the time of operative vaginal delivery

Neonatal Injury at Cephalic Vaginal Delivery: A Retrospective Analysis of Extent of Association with Shoulder Dystocia

PURPOSE To describe the risk factors and labor characteristics of Clavicular fracture (CF) and brachial plexus injury (BPI); and compare antenatal and labor characteristics and prognosis of obstetrical BPI associated with shoulder dystocia with obstetrical BPI not associated with shoulder dystocia. METHODS This retrospective study consisted of women who gave birth to an infant with a fracture...

Shoulder Dystocia at Delivery: Population-based Studies of Risk Factors

Operative Vaginal Delivery

Operative vaginal delivery is used to achieve or expedite safe vaginal delivery for maternal or fetal indications. Examples include maternal exhaustion and an inability to push effectively; medical indications such as maternal cardiac disease and a need to avoid pushing in the second stage of labor; prolonged second stage of labor, arrest of descent, or rotation of the fetal head; and nonreassu...

Can a customized standard for large for gestational age identify women at risk of operative delivery and shoulder dystocia?

OBJECTIVE To determine whether a customized standard for large for gestational age (LGA) identifies undiagnosed women at risk of operative delivery and shoulder dystocia. METHODS We previously generated customized standards from our institution. We compared the baseline maternal characteristics and neonatal outcomes between LGA and non-LGA births, which were classified by both population-base...

Shoulder dystocia among parous parturients: Birth weight differences of the largest prior vaginal delivery and index pregnancy

To compare the birth weight (BW) of largest prior vaginal delivery versus the index pregnancy with shoulder dystocia (SD). From three centers, births with SD were identified and compared to the largest birth weight of prior delivery at term. Among 304 patients, the mean difference in the BW of those with SD in the index pregnancy and largest prior vaginal delivery was 394 ± 510g (p<.0001). The ...