Journal
WOMENS HEALTH
Volume 12, Issue 2, Pages 251-261Publisher
SAGE PUBLICATIONS LTD
DOI: 10.2217/whe.15.103
Keywords
birth trauma; brachial plexus injury; diabetes; Erb palsy; macrosomia; shoulder dystocia
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Shoulder dystocia is a complication of vaginal delivery and the primary factor associated with brachial plexus injury. In this review, we discuss the risk factors for shoulder dystocia and propose a framework for the prediction and prevention of the complication. A recommended approach to management when shoulder dystocia occurs is outlined, with review of the maneuvers used to relieve the obstruction with minimal risk of fetal and maternal injury.
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