Key result
Shoulder dystocia (OR 76.1; 95% CI 69-84) and other malpresentation (OR 73.6; 95% CI 66-83) were strongly associated with brachial plexus injury among 1,094,298 deliveries.
Population
1,094,298 women who delivered in more than 300 civilian acute care hospitals in California between January…
Design
Cohort
Authors
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Identifies key intrapartum risks for brachial plexus injury; should not yet change practice pending prospective trials.
Observational (n=1,094,298)
Yes
Odds Ratio: 76.1 (95% CI 69–84)
Shoulder dystocia is a major risk factor for brachial plexus injury in macrosomic newborns, but other malpresentations are more frequent causes in low- and normal-weight infants.
Gilbert et al. (1999) conducted an observational in Brachial plexus injury (n=1,094,298). Shoulder dystocia vs. No shoulder dystocia was evaluated on Brachial plexus injury (OR 76.1, 95% CI 69-84). Shoulder dystocia (OR 76.1; 95% CI 69-84) and other malpresentation (OR 73.6; 95% CI 66-83) were strongly associated with brachial plexus injury among 1,094,298 deliveries.
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