Document Detail


Association of Head Circumference and Shoulder Dystocia in Macrosomic Neonates.
MedLine Citation:
PMID:  22492227     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
To determine whether asymmetric macrosomia (disproportionately large body size in comparison to head circumference) could be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer from shoulder dystocia. A case-control study was conducted as a retrospective chart review over 3 years at a large maternity hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.
Authors:
Austin Larson; David E Mandelbaum
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-11
Journal Detail:
Title:  Maternal and child health journal     Volume:  -     ISSN:  1573-6628     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Children's Hospital Colorado, University of Colorado Denver, Office of Graduate Medical Education, Box 158, 13123 E 16th Ave, Aurora, CO, 80238, USA, Austin.Larson@Childrenscolorado.org.
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