Is An Episiotomy Necessary With A Shoulder Dystocia
American Journal of Obstetrics and Gynecology,

Paris AE et al. – Despite historical recommendations for an episiotomy to prevent brachial plexus injury when a shoulder dystocia is encountered, the trend authors observed does not suggest benefit from this practice.

Methods
  • All births at Brigham and Women’s Hospital from September 1, 1998 through August 31, 2009 were reviewed.
  • Total number of births, mode of delivery, shoulder dystocias, episiotomies with and without shoulder dystocias, and brachial plexus injuries were recorded.
  • A non-parametric test of trend was performed.
  • There were a total of 94,842 births, 953 shoulder dystocias and 102 brachial plexus injuries.

Results
  • The rate of episiotomy with shoulder dystocia dropped from 40% in 1999 to 4% in 2009 (p=0.005) with no change in the rate of brachial plexus injuries per 1000 vaginal births.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Obstetrics & Gynecology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Obstetrics & Gynecology Articles

1 Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial Phytotherapy Research, October 13, 2014    Clinical Article

2 Pathologic findings at risk-reducing salpingo-oophorectomy: Primary Results From Gynecologic Oncology Group Trial GOG-0199 Journal of Clinical Oncology, September 19, 2014    Clinical Article

3 Anti-mullerian hormone as a diagnostic and prognostic tool for PCOS patients Journal of Assisted Reproduction and Genetics, August 22, 2014    Clinical Article

4 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, October 27, 2014    Evidence Based Medicine    Review Article

5 Abnormal blood biomarkers in early pregnancy are associated with preeclampsia: A meta-analysis European Journal of Obstetrics & Gynecology and Reproductive Biology, October 9, 2014    Evidence Based Medicine

6 Maternal caffeine intake during pregnancy is associated with risk of low birth weight: a systematic review and dose-response meta-analysis Full Text BMC Medicine, October 7, 2014    Free full text    Evidence Based Medicine    Clinical Article

7 Sequential use of mifepristone and misoprostol in treatment of early pregnancy failure appears more effective than misoprostol alone: A retrospective study European Journal of Obstetrics & Gynecology and Reproductive Biology, October 22, 2014    Clinical Article

8 3-Epi-25 hydroxyvitamin D in pregnancy Pregnancy Hypertension, October 10, 2014    Clinical Article

9 Egg consumption is associated with increased risk of ovarian cancer: Evidence from a meta-analysis of observational studies Clinical Nutrition, August 5, 2014    Evidence Based Medicine

10 Circadian disrupting exposures and breast cancer risk: a meta-analysis International Archives of Occupational & Environmental Health, October 15, 2014    Clinical Article

11 Markers of subclinical atherosclerosis in premenopausal women with vitamin D deficiency and effect of vitamin D replacement Atherosclerosis, October 29, 2014    Clinical Article

12 What differentiates symptomatic from asymptomatic women with lichen sclerosus Gynecologic and Obstetric Investigation, October 30, 2014    Clinical Article

13 Associations of maternal circulating 25-hydroxyvitamin D3 concentration with pregnancy and birth outcomes BJOG: An International Journal of Obstetrics and Gynaecology, September 22, 2014    Clinical Article

14 Laparoscopic surgery for distal tubal occlusions: Lessons learned from a historical series of 434 cases Fertility and Sterility, September 4, 2014    Clinical Article

15 Limited knowledge about folic acid and iodine nutrition in pregnant women reflected in supplementation practices Nutrition & Dietetics, October 3, 2014    Clinical Article

16 Dietary and lifestyle advice for pregnant women who are overweight or obese: The limit randomized trial Annals of Nutrition and Metabolism, October 17, 2014    Clinical Article

17 Stretch marks during pregnancy: A review of topical prevention British Journal of Dermatology, October 13, 2014    Review Article

18 The association between dietary factors and gestational hypertension and pre-eclampsia: A systematic review and meta-analysis of observational studies Full Text BMC Medicine, October 2, 2014    Free full text    Review Article

19 Fast food consumption and gestational diabetes incidence in the SUN project PLOS ONE, October 6, 2014    Clinical Article

20 Rectally administrated misoprostol as an alternative to intravenous oxytocin infusion for preventing post-partum hemorrhage after cesarean delivery Journal of Obstetrics and Gynaecology Research, September 29, 2014    Clinical Article

Indexed Journals in Obstetrics & Gynecology: Obstetrics and Gynecology, American Journal of Obstetrics and Gynecologymore