Key result
Despite the use of the McRoberts' maneuver increasing from 3% to 91%, the incidence of shoulder dystocia, brachial plexus injury, and neonatal asphyxia all increased over the study period.
Why the study?
Does the increasing use of the McRoberts' maneuver improve maternal and neonatal outcomes in shoulder dystocia?
Population
79,781 vaginal deliveries, including 514 cases of shoulder dystocia, occurring from 1991 to 2005 in a single…
Comparison
McRoberts' maneuver to overcome shoulder dystocia vs Earlier management methods
Design
Cohort
Authors
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Increased McRoberts' use was associated with rising neonatal morbidity; leaves open optimal shoulder dystocia management sequences.
Observational (n=79,781)
No
Does the increasing use of the McRoberts' maneuver improve maternal and neonatal outcomes in shoulder dystocia?
The increasing use of the McRoberts' maneuver for shoulder dystocia has not improved neonatal outcomes compared with earlier management results.
MacKenzie et al. (2008) conducted an observational in Shoulder dystocia (n=79,781). McRoberts' maneuver vs. Earlier management methods was evaluated on Incidence of shoulder dystocia and associated maternal and neonatal morbidity. Despite the use of the McRoberts' maneuver increasing from 3% to 91%, the incidence of shoulder dystocia, brachial plexus injury, and neonatal asphyxia all increased over the study period.
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