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Article: Increases in the rate of shoulder dystocia/Increases in the rate of shoulder dystocia - Reply
- Article from:
- Journal of Maternal - Fetal & Neonatal Medicine
- Article date:
- May 1, 2006
- Author:
CopyrightCopyright Taylor & Francis Ltd. May 2006. Provided by ProQuest LLC. (Hide copyright information)
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MICHAEL G. ROSS & MARIE H. BEALL
David Geffen School of Medicine at UCLA, Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, CA, USA
We read with interest the article of Dandolu et al. [1] in which the authors suggest that the rate of shoulder dystocia has increased by ten-fold from 1979 to 2003. The authors used a Maryland State database of six successive five-year periods in which the rate of shoulder dystocia reporting increased from 0.2% to 2.11%. Although the authors address issues of the inherent limitations of database coding, and the lack of clear definition for either shoulder dystocia or macrosomia, they conclude in both the abstract and manuscript that there ...