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Risk factors for recurrent shoulder dystocia, Washington state, 1987-2004.
- Source :
-
American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2008 May; Vol. 198 (5), pp. e16-24. Date of Electronic Publication: 2008 Feb 14. - Publication Year :
- 2008
-
Abstract
- Objective: The objective of the study was to identify recurrent shoulder dystocia risk factors.<br />Study Design: This was a population-based case-control study in Washington state (1987-2004). Primary and recurrent shoulder dystocia incidences were calculated. Logistic regression was used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for subsequent shoulder dystocia risk factors.<br />Results: Primary and recurrent shoulder dystocia annual incidences were 2.3 of 100 and 13.5 of 100. Of 26,208 women with shoulder dystocia deliveries, 8991 had subsequent vaginal births, and of those, 1060 (11.8%) had a recurrent shoulder dystocia. Index pregnancy birthweight was associated with an increased risk of subsequent shoulder dystocia: 3500-3999 g, aOR 1.8 (95% CI 1.5 to 2.3); 4000-4499 g, aOR 3.3 (95% CI 2.6 to 4.1); 4500-4999 g, aOR 3.1 (95% CI 2.3 to 4.3); and 5000 g or greater, aOR 3.8 (95% CI 2.0 to 7.3). Vacuum delivery, aOR 1.4 (95% CI 1.2 to 1.7), and severe shoulder dystocia, aOR 2.1 (95% CI 1.6 to 2.7) in the index delivery, were also significant.<br />Conclusion: Birthweight of 3500 g or greater, vacuum delivery, or severe shoulder dystocia in the index delivery were independent risk factors for shoulder dystocia recurrence.
- Subjects :
- Adult
Birth Injuries epidemiology
Diabetes Complications epidemiology
Female
Humans
Incidence
Obesity epidemiology
Odds Ratio
Pregnancy
Pregnancy Outcome
Pregnancy in Diabetics epidemiology
Recurrence
Risk Factors
Shoulder
Vacuum Extraction, Obstetrical
Washington epidemiology
Dystocia epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6868
- Volume :
- 198
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- American journal of obstetrics and gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 18279836
- Full Text :
- https://doi.org/10.1016/j.ajog.2007.09.050