Shoulder Dystocia Maneuvers Not Tied to Neonatal Harm

This article originally appeared here.
Share this content:
Shoulder Dystocia Maneuvers Not Tied to Neonatal Harm
Shoulder Dystocia Maneuvers Not Tied to Neonatal Harm

MONDAY, March 23, 2015 (HealthDay News) -- A variety of shoulder dystocia maneuvers are not associated with neonatal morbidity after adjusting for duration, according to a study published in the March issue of the American Journal of Obstetrics and Gynecology.

Janine E. Spain, M.D., from the Washington University School of Medicine in St. Louis, and colleagues retrospectively reviewed all cases (2005 through 2008) in a retrospective cohort study of women who experienced a clinically diagnosed shoulder dystocia at term requiring obstetric maneuvers. A reference group of women delivered by McRoberts/suprapubic pressure only (135 women) was compared to women exposed to Rubin maneuver (83 women), Wood's screw maneuver (53 women), or delivery of the posterior arm (36 women).

After adjusting for nulliparity and duration of shoulder dystocia, the researchers found that individual maneuvers were not associated with composite morbidity, neonatal injury (clavicular or humeral fracture or brachial plexus injury), or neonatal depression (defined as Apgar <7 at five minutes, arterial cord pH <7.1, continuous positive airway pressure use, intubation, or respiratory distress).

"Our results demonstrate that clinicians should utilize the maneuver most likely to result in successful delivery," the authors write.

Abstract
Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ancient Gene Protects Elephants From Cancer

Ancient Gene Protects Elephants From Cancer

The LIF6 gene destroys cells with damaged DNA

Reasons for Undergoing Cosmetic Procedures Explored

Reasons for Undergoing Cosmetic Procedures Explored

Psychological and emotional motivations more likely in patients wanting acne scar tx, tattoo removal

DNR Orders Linked to Increased Mortality in Older Adults

DNR Orders Linked to Increased Mortality in Older ...

Early versus late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older

is free, fast, and customized just for you!




Already a member?

Sign In Now »