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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3053 records
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Created on : 26 Jul 2004
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Shoulder dystocia: predictors and outcome. A five-year review. Am J Obstet Gynecol. 1987 Feb;156(2):334-6.

Author(s) :

Gross SJ, Shime J, Farine D.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

Shoulder dystocia is an uncommon complication of delivery with a high morbidity rate. Ninety-one cases were coded for shoulder dystocia at the Toronto General Hospital from 1980 through 1985. True shoulder dystocia was found in 24 cases, an incidence of 0.23%. There was no significant difference in average weight and percentage of macrosomia between cases of true shoulder dystocia and those merely coded as such. True shoulder dystocia was associated with a neonatal morbidity rate of 42%, consisting of a respiratory arrest and neurological and orthopedic damage. Fundal pressure, in the absence of other maneuvers, resulted in a 77% complication rate and was strongly associated with orthopedic and neurologic damage. Delivery of the posterior shoulder and the corkscrew maneuver were associated with good fetal outcome.

Sumário (português)  :

Comments :

Argument (français) :

Les dystocies des épaules vraies sont rares, mais hautement morbides. Associé à l’expression abdominale le taux de séquelles neurologiques et orthopédiques atteint 77%.

Argument (English):

Argumento (português):

Keywords :

➡ dystocy ; fundal pressure ; morbidity

Author of this record :

Cécile Loup — 26 Jul 2004

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