Key result
Among infants weighing ≥4,000 g, shoulder dystocia occurred in 15.7% of neonates born to diabetic women compared to 1.6% in non-diabetic women.
Population
17,127 singleton vaginal deliveries
Design
Cohort
Authors
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Macrosomia with maternal diabetes markedly elevates shoulder dystocia risk; supports risk stratification yet leaves open optimal delivery thresholds.
Observational (n=17,127)
Absolute Event Rate: 15.7% vs 1.6%
Shoulder dystocia is strongly associated with macrosomia and maternal diabetes, highlighting the need for careful clinical assessment to consider abdominal delivery in high-risk cases.
Al-najashi et al. (1989) conducted an observational in Shoulder dystocia (n=17,127). Diabetes mellitus in pregnancies with infant birth-weight ≥4,000 g vs. Non-diabetic pregnancies with infant birth-weight ≥4,000 g was evaluated on Shoulder dystocia. Among infants weighing ≥4,000 g, shoulder dystocia occurred in 15.7% of neonates born to diabetic women compared to 1.6% in non-diabetic women.
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