Population
1,076,545 deliveries in Sweden between 1987 and 1996, identifying 1,397 parturients with shoulder dystocia.
Design
Cohort
Authors
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May prompt enhanced prenatal counseling for suspected macrosomia; confirms associations yet leaves optimal management open for trials.
High birth weight and maternal diabetes are strong risk factors for shoulder dystocia, which carries a high risk of brachial plexus injury even after cesarean section.
Christoffersson et al. (2002) studied this question.
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