Document Detail

Is an episiotomy necessary with a shoulder dystocia?
MedLine Citation:
PMID:  21620364     Owner:  NLM     Status:  Publisher    
OBJECTIVE: The objective of the study was to determine whether a decrease in the use of episiotomy was associated with a change in the frequency of brachial plexus injury. STUDY DESIGN: All births at Brigham and Women's Hospital from Sept. 1, 1998, through Aug. 31, 2009, were reviewed. The total number of births, mode of delivery, shoulder dystocias, episiotomies with and without shoulder dystocias, and brachial plexus injuries were recorded. A nonparametric test of trend was performed. RESULTS: There were a total of 94,842 births, 953 shoulder dystocias, and 102 brachial plexus injuries. The rate of episiotomy with shoulder dystocia dropped from 40% in 1999 to 4% in 2009 (P = .005) with no change in the rate of brachial plexus injuries per 1000 vaginal births. CONCLUSION: Despite historical recommendations for an episiotomy to prevent brachial plexus injury when a shoulder dystocia is encountered, the trend we observed does not suggest benefit from this practice.
Amy E Paris; James A Greenberg; Jeffrey L Ecker; Thomas F McElrath
Related Documents :
8439274 - Nonpulsatile mode of blood flow required for cardiopulmonary bypass and total body perf...
22006424 - Tractography of the corticospinal tracts in infants with focal perinatal injury: compar...
1459294 - Epidemic of malaria in barmer district (thar desert) of rajasthan during 1990.
19026854 - Workup of the cardiac arrest survivor: for the symposium on sudden cardiac death for pr...
2996744 - Hepatocellular carcinoma. relationship to wine and pork consumption.
3400724 - Decreased developmental stability as assessed by fluctuating asymmetry of morphometric ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-14
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  -     ISSN:  1097-6868     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-5-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Mosby, Inc. All rights reserved.
Department of Obstetrics and Gynecology, Brigham and Women's Hospital/Massachusetts General Hospital, Boston, MA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Could chronic pelvic pain be a functional somatic syndrome?
Next Document:  Adolescent pregnancy and gestational weight gain: do the Institute of Medicine recommendations apply...