Outcomes associated with introduction of a shoulder dystocia protocol

William A. Grobman*, Deborah Miller, Carol Burke, Abby Hornbogen, Karen Tam, Robert Costello

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

80 Scopus citations


The objective of this study was to assess outcomes that are associated with the implementation of a shoulder dystocia protocol that is focused on team response. We identified women who had a shoulder dystocia during 3 time periods: 6 months before (period A), 6 months during (period B), and 6 months after (period C) the institution of a shoulder dystocia protocol. Documentation and health outcomes were compared among the time periods. During the study period, 254 women (77, 100, and 77 in periods A, B, and C, respectively) had a shoulder dystocia. There were no differences among study periods in patient characteristics. However, complete and consistent documentation increased (14% to 50% to 92%; P <.001), and brachial plexus palsy that was diagnosed at delivery (10.1% to 4.0% to 2.6%; P =.03) and at neonatal discharge (7.6% to 3.0% to 1.3%; P =.04) declined.

Original languageEnglish (US)
Pages (from-to)513-517
Number of pages5
JournalAmerican journal of obstetrics and gynecology
Issue number6
StatePublished - Dec 2011


  • protocol
  • shoulder dystocia

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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