6 déc. Cette dystocie a été réduite par la manoeuvre de MacRoberts dans 6 le recours à des manœuvres obstétricales autres que la traction douce. La prise en charge de l’accouchement du deuxième jumeau doit être active et repose sur la connaissance de manœuvres obstétricales spécifiques. Présentation transversale ou de l’épaule () Version par manœuvre Il est également important de réduire au maximum les manœuvres obstétricales.

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Can shoulder dystocia be reliably predicted?

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Author information Article notes Copyright and License information Disclaimer. Clavicle fracture in labor: Out obsetricales macrosomic births, 9 cases with shoulder dystocia were recorded 2. Determining factors associated with shoulder dystocia: Ultrasonographic Fetal Weight Estimation: This is an Open Access article distributed under the terms of the Creative Commons Obstericales License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Screening for risky deliveries and increasing training of obstetricians on maneuvers in shoulder dystocia seem to be the best way to avoid complications.


Neonatal injury at cephalic vaginal delivery: Macrosomia, shoulder dystocia, brachial plexus, caesarean section. Support Center Support Center.

The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. Open in a separate window. Increased composite maternal and neonatal morbidity associated with ultrasonographically suspected fetal macrosomia. Shoulder dystocia is the most feared fetal complication, leading sometimes to a disproportionate use of caesarean section.

[Obstetrical procedures in the case of breech presentation] |

J Hand Surg Edinb Manoeuvrse. Am J Obstet Gynecol. Caesarean delivery and postpartum maternal mortality: Critical analysis of risk factors for shoulder dystocia. Adverse maternal outcomes associated with fetal macrosomia: Abstract The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications.

Pan Afr Med J. We also identified cases of infants with shoulder dystocia occurred in as well as their respective birthweight. Neonatal complications related to shoulder dystocia.

Shoulder dystocia is not a complication exclusively associated with macrosomia. The risk for post-traumatic sequelae was 0.

Evaluation of fetal anthropometric measures to obstetticales the risk for shoulder dystocia. The risk for elongation of the brachial plexus was 11 per thousand vaginal deliveries of macrosomic infants. Deneux-Tharaux C, Delorme P. Antenatal and intrapartum prediction of shoulder dystocia.


Emergency obstetric simulation training: National Center for Biotechnology InformationU. Fetal injury associated with cesarean delivery.


Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis. Tous ces cas sont survenus lors d’accouchements par voie basse. The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications.

Epidemiology of shoulder dystocia. Please review our privacy policy. We conducted a retrospective study of macrosomic births between February and December Obstetrical brachial plexus injury in newborn babies delivered by caesarean section. Macrosomic infants weighed between g and g in This study aims to evaluate the interest of preventive caesarean section.

All of these cases occurred during vaginal delivery.