Maternal Factors and Labor Interventions Predicting Shoulder Dystocia
نویسندگان
چکیده مقاله:
Background and purpose: Shoulder dystocia is an obstetrics emergency which could be prevented by identifying its predictors and taking effective measures. The aim of this study was to determine the relationship between maternal factors and interventions for shoulder dystocia. Materials and methods: In this descriptive correlational study, we studied 6520 delivery files in a hospital in Sabzevar, Iran 2017-2018. All vaginal deliveries at 37-42 weeks with cephalic presentation were investigated and data of deliveries with shoulder dystocia (n=212) and without this condition (n=6308) were extracted using a researcher-made checklist. Mann-Whitney, Chi-square and logistic regression were applied for data analysis. Results: Findings showed significant differences between the two groups in mean age (P<0.001), body mass index (P<0.001), maternal weight (P=0.002), spontaneous labor (P<0.001), oxytocin augmentation (P=0.001), and vacuum extraction (P<0.001). In multiple logistic regression analysis, the only independent risk factor for shoulder dystocia was vacuum extraction (OR= 2.52, 95% CI: 1.596-3.978, P<0.001). Conclusion: According to this study, shoulder dystocia can be predicted in vacuum-assisted vaginal deliveries which could be prevented by reducing this procedure and using alternative methods such as Caesarean section.
منابع مشابه
Determining factors associated with shoulder dystocia: a population-based study.
OBJECTIVE The study was aimed to define obstetric factors associated with shoulder dystocia. METHODS A population-based study comparing all singleton, vertex, term deliveries with shoulder dystocia with deliveries without shoulder dystocia was performed. Statistical analysis was done using multiple logistic regression analysis. RESULTS Shoulder dystocia complicated 0.2% (n = 245) of all del...
متن کاملIncidence and Factors Influencing Maternal Dystocia in Bitches
Studies were conducted to analyze the incidence and factors influencing maternal dystocia in bitches and the frequency of various types of maternal dystocia by analyzing medical records of dystocia cases presented at the department of Gynaecology and Obstetrics, Veterinary College, Hebbal, Bangalore between January 1997 to March 2009 as well as the data generated from clinical cases of dystocia...
متن کاملObstetrics Case Report: Shoulder Dystocia
Obstetric emergencies require quick and decisive action to save the life of the mother and the child. Severe hypertensive disorder, haemorrhage and embolism all threaten the life of the mother. The fetus is directly threatened by umbilical cord accidents, other forms of hypoxia and mechanical delivery problems. Death of the mother was frequent in the early part of the twentieth century in the U...
متن کاملObstetrics Case Report: Shoulder Dystocia
Obstetric emergencies require quick and decisive action to save the life of the mother and the child. Severe hypertensive disorder, haemorrhage and embolism all threaten the life of the mother. The fetus is directly threatened by umbilical cord accidents, other forms of hypoxia and mechanical delivery problems. Death of the mother was frequent in the early part of the twentieth century in the U...
متن کاملManagement of shoulder dystocia: a re-audit
Results There were 23 cases of shoulder dystocia; one case had to be discounted. Documentation had declined since 2009 when all areas were 100% documented. Only 65% of cases recorded the manoeuvres used, their timing and stage of delivery. The CNST additionally requires the sequence of manoeuvres and who conducted them which was not routinely recorded. McRobert’s position resolved 50% of cases,...
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عنوان ژورنال
دوره 30 شماره 190
صفحات 67- 75
تاریخ انتشار 2020-11
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