Why the study?
Is unrecognized shoulder dystocia associated with an increased risk of neonatal injury in vaginal births?
Population
26,033 vaginal births from January 1979 to April 1987
Comparison
Intrapartum identification of shoulder dystocia vs Unrecognized shoulder dystocia
Design
Cohort
Follow-up
Immediate following delivery
Authors
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Unrecognized shoulder dystocia may drive most neonatal injuries; hypothesis-generating for detection strategies without supporting practice change.
Is unrecognized shoulder dystocia associated with an increased risk of neonatal injury in vaginal births?
Shoulder dystocia is frequently unrecognized during delivery, and this lack of recognition accounts for the majority of associated neonatal injuries.
Gonik et al. (1991) studied this question.
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