Key result
Shoulder dystocia and brachial plexus injury occur in 0.5% to 1.5% of all births, with a history of previous shoulder dystocia being the most reliable predictor of recurrence (9.8%-16.7%).
Population
Newborns and mothers at risk for or experiencing shoulder dystocia and brachial plexus injury
Design
Review
Authors
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Prior shoulder dystocia history signals elevated recurrence risk warranting caution; leaves open prospective validation of prevention strategies.
Prompt assessment, management, and documentation of shoulder dystocia maneuvers are critical to minimize permanent brachial plexus injury and malpractice allegations.
Cecilia M. Jevitt (2005) conducted a review in Shoulder dystocia and brachial plexus injury. Shoulder dystocia risk factors and management was evaluated. Shoulder dystocia and brachial plexus injury occur in 0.5% to 1.5% of all births, with a history of previous shoulder dystocia being the most reliable predictor of recurrence (9.8%-16.7%).
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