Article: High birth weight, induction boosted shoulder dystocia risk.(Obstetrics)

PHOENIX, ARIZ. -- Rates of several traditional obstetric risk factors for shoulder dystocia, such as maternal diabetes, epidural use, and multiparity, were not significantly higher among shoulder dystocia cases than among normal births in a retrospective review of more than 250,000 vaginal births.

High birth weight, however, remained a leading risk factor for shoulder dystocia, Joseph Ouzounian, M.D., reported at the annual meeting of the Pacific Coast Obstetrical and Gynecological Society.

The study included 267,228 vaginal births that took place between 1991 and 2001 at a 10-hospital Kaiser Permanente system in Southern California. During that period ...

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