Long-term trends in the incidence and management of shoulder dystocia in a tertiary obstetric unit in Hong Kong

Because there have been changes in the management of macrosomic pregnancies and shoulder dystocia in the past decade, this study was conducted to compare the incidences of shoulder dystocia and perinatal outcomes between the periods of 2000-2009 and 2010-2019. This retrospective study was conducted...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2023-12, Vol.29 (6), p.524-531
Main Authors: Chan, E H L, Lau, S L, Leung, T Y
Format: Article
Language:English
Subjects:
Apgar score
Birth weight
Body mass index
Brachial plexus
Cesarean section
Childbirth & labor
Diabetes
Hypoxia
Induced labor
Ischemia
Obstetrics
Pregnancy
Stillbirth
Success
Vagina
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Summary:Because there have been changes in the management of macrosomic pregnancies and shoulder dystocia in the past decade, this study was conducted to compare the incidences of shoulder dystocia and perinatal outcomes between the periods of 2000-2009 and 2010-2019. This retrospective study was conducted in a tertiary obstetric unit. All cases of shoulder dystocia were identified using the hospital's electronic database. The incidences, maternal and fetal characteristics, obstetric management methods, and perinatal outcomes were compared between the two study periods. The overall incidence of shoulder dystocia decreased from 0.23% (134/58 326) in 2000-2009 to 0.16% (108/65 683) in 2010-2019 (P=0.009), mainly because of the overall decline in the proportion of babies with macrosomia (from 3.3% to 2.3%; P
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj2210038