Document Detail


Accuracy of estimated fetal weight in shoulder dystocia and neonatal birth injury.
MedLine Citation:
PMID:  15970839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to determine whether there is any difference in the rate of error of estimated fetal weight (EFW) in cases of shoulder dystocia compared with controls. STUDY DESIGN: Women whose delivery was complicated by shoulder dystocia were studied and compared with a control group matched for parity, race, labor type (spontaneous or induced), and birth weight (BW). Accuracy (%) was defined as [(EFW-BW)/BW] x 100. The primary outcome of the study was rate of EFW underestimation error 20% or greater. RESULTS: During the 5-year study period, there were 206 cases of shoulder dystocia that met all study criteria. There was no difference in the number of patients that had EFW underestimation error 20% or greater (shoulder dystocia 9.8% vs control 12.8%; P = .38). There was also no difference in the number of patients that had EFW underestimation error 20% or greater between shoulder dystocia with and without injury (injury 8.3% vs no injury 7.1%; P = .79). CONCLUSION: EFW underestimation error in cases of shoulder dystocia is an infrequent event and does not occur more often than in deliveries without shoulder dystocia.
Authors:
Shobha H Mehta; Sean C Blackwell; Israel Hendler; Emmanuel Bujold; Yoram Sorokin; Joel Ager; Todd Kraemer; Robert J Sokol
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  192     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-22     Completed Date:  2005-07-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1877-80; discussion 1880-1     Citation Subset:  AIM; IM    
Affiliation:
Division of Material Fetal Medicine, Department of Obstetrics & Gynecology, Hutzel Hospital, Wayne State University, Detroit, MI 48201, USA. smehta@med.wayne.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Birth Injuries / diagnosis,  epidemiology*,  etiology
Brachial Plexus / injuries*
Case-Control Studies
Diagnosis-Related Groups / statistics & numerical data
Dystocia / diagnosis,  epidemiology*,  etiology
Female
Fetal Weight*
Humans
Infant, Newborn
Medical Records
Michigan / epidemiology
Middle Aged
Predictive Value of Tests
Pregnancy
Prenatal Diagnosis*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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