Risk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter?

2.50
Hdl Handle:
http://hdl.handle.net/10143/71395
Title:
Risk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter?
Authors:
Overland, Eva A; Spydslaug, Anny; Nielsen, Christopher S; Eskild, Anne
Citation:
Risk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter? American journal of obstetrics and gynecology 2009, 200 (5):506.e1-6
Additional Links:
http://dx.doi.org/10.1016/j.ajog.2008.12.038

Full metadata record

DC FieldValue Language
dc.contributor.authorOverland, Eva A-
dc.contributor.authorSpydslaug, Anny-
dc.contributor.authorNielsen, Christopher S-
dc.contributor.authorEskild, Anne-
dc.date.accessioned2009-06-24T09:37:20Z-
dc.date.available2009-06-24T09:37:20Z-
dc.date.issued2009-05-
dc.identifier.citationRisk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter? American journal of obstetrics and gynecology 2009, 200 (5):506.e1-6en
dc.identifier.issn1097-6868-
dc.identifier.pmid19268881-
dc.identifier.doi10.1016/j.ajog.2008.12.038-
dc.identifier.urihttp://hdl.handle.net/10143/71395-
dc.description.abstractOBJECTIVE: Our aim was to estimate the relative and absolute risk of shoulder dystocia in the second delivery according to history of shoulder dystocia and offspring birthweight. STUDY DESIGN: A retrospective cohort study including all women in Norway with 2 consecutive singleton vaginal deliveries with fetus in cephalic presentation, during the period 1967-2005 (n = 537,316). RESULTS: In the second delivery shoulder dystocia occurred in 0.8% of all women. In women with a prior shoulder dystocia the recurrence risk was 7.3%. Most cases of shoulder dystocia in second delivery were in women without such history (96.2%). Offspring birthweight was the most important risk factor for shoulder dystocia in second delivery: crude odds ratio, 292.9 (95% confidence interval, 237.8-360.7) comparing birthweight > 5000 g with 3000-3499 g. CONCLUSION: Prior shoulder dystocia increased the risk of shoulder dystocia in the second delivery. However, offspring birthweight was by far the most important risk factor.en
dc.language.isoenen
dc.relation.urlhttp://dx.doi.org/10.1016/j.ajog.2008.12.038en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Gynekologi og obstetrikk: 756en
dc.subject.meshAdulten
dc.subject.meshBirth Injuriesen
dc.subject.meshBirth Weighten
dc.subject.meshDystociaen
dc.subject.meshFemaleen
dc.subject.meshHumansen
dc.subject.meshInfant, Newbornen
dc.subject.meshLabor Presentationen
dc.subject.meshNorwayen
dc.subject.meshParityen
dc.subject.meshPregnancyen
dc.subject.meshRecurrenceen
dc.subject.meshRegistriesen
dc.subject.meshRetrospective Studiesen
dc.subject.meshRisk Factorsen
dc.subject.meshShoulderen
dc.subject.meshYoung Adulten
dc.titleRisk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter?en
dc.typeJournal articleen
dc.typepeer revieweden
dc.contributor.departmentDepartment of Obstetrics and Gynecology and Medical Faculty Division, Akershus University Hospital, University of Oslo, Oslo, Norway.en
dc.identifier.journalAmerican journal of obstetrics and gynecologyen

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