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Article: Trends in the rate of shoulder dystocia over two decades
- Article from:
- Journal of Maternal - Fetal & Neonatal Medicine
- Article date:
- November 1, 2005
- Author:
CopyrightCopyright CRC Press Nov 2005. Provided by ProQuest LLC. (Hide copyright information)
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Abstract
Objective. To describe the trend in the rate of shoulder dystocia over twenty-four years and identify the risk factors related to the occurrence of dystocia.
Methods. Data was obtained from Maryland State regarding all vaginal deliveries that occurred during six different time periods at five-year intervals since 1979. Trends in the rate of shoulder dystocia, episiotomy, forceps and vacuum delivery were examined.
Results. There were a total of 277 974 vaginal deliveries. The overall rate of shoulder dystocia was 1.29% (n = 3590). Induction of labor (adjusted OR 1.2, 1.1-1.3), presence of diabetes (gestational (OR 1.9, 1.7-2.3) or pre-gestational (OR 3.8, 2.7-5.4)), fetal macrosomia ...