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Korean Journal of Obstetrics & Gynecology 2005;48(8):1841-1850.
Published online August 1, 2005.
Shoulder Dystocia.
Yoon Ha Kim
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea. kimyh@chonnam.ac.kr
Abstract
Shoulder dystocia refers to difficulty in delivery of fetal shoulders, and is one of the most dreaded and dramatic complications encountered in obstetrics. It is a true emergency, and when it occurs, it can result in high rate of maternal morbidity as well as neonatal morbidity and mortality. The occurrence of shoulder dystocia cannot be accurately predicted or prevented on the basis of antenatal risk factors or labor abnormalities. Therefore, the obstetrician must be prepared to recognize a shoulder dystocia immediately and proceed through an orderly sequence of steps to effect delivery in a timely manner. The goal of management is to prevent fetal asphyxia, while avoiding physical injury.
Key Words: Shoulder dystocia, Maternal morbidity, Neonatal morbidity and mortality
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