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Shoulder dystocia

Published online by Cambridge University Press:  10 October 2008

GSH Yeo  and
TC Chang
GSH Yeo*
Affiliation:
Department of Maternal Fetal Medicine, Kandang Kerbau Hospital, Singapore.
TC Chang
Affiliation:
Department of Maternal Fetal Medicine, Kandang Kerbau Hospital, Singapore.
*
Dr GSH Yeo, Senior Consultant and Head, Department of Maternal Fetal Medicine, Kandang Kerbau Hospital, 1 Hampshire Road, Singapore 0821.
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Extract

Shoulder dystocia is an unpredictable obstetrical emergency that results in serious complications especially to the neonate. Such complications include fracture of the clavicle, brachial plexus injury, fracture of the humerus and asphyxia.1-4 The incidence of shoulder dystocia appears to be increasing5 and its unpredictability continues to be the nightmare of the obstetrician. The following is a review of risk factors which are associated with shoulder dystocia, a critical review of the usefulness of antenatal ultrasound in the prediction of the macrosomic fetus and a discussion of the controversies surrounding the management of shoulder dystocia.

Type
Articles
Information
Fetal and Maternal Medicine Review , Volume 7 , Issue 4 , November 1995 , pp. 251 - 258
Copyright
Copyright © Cambridge University Press 1995

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