Key result
Recent reports suggest that in-utero forces, rather than excessive lateral traction to the fetal head, may underlie a significant portion of brachial plexus injuries in shoulder dystocia.
Population
Pregnant women experiencing shoulder dystocia and their fetuses
Design
Review
Authors
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Challenges traction-centric model of brachial plexus injury; leaves open in-utero forces as contributor pending prospective validation.
Challenges the traditional thinking that brachial plexus injury during shoulder dystocia is solely caused by excessive lateral traction, suggesting in-utero forces play a significant role.
Gherman et al. (1998) conducted a review in Shoulder dystocia. Obstetric maneuvers was evaluated. Recent reports suggest that in-utero forces, rather than excessive lateral traction to the fetal head, may underlie a significant portion of brachial plexus injuries in shoulder dystocia.
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