Shoulder dystocia and birth trauma in gestational diabetes: A five-year experience

James D. Keller*, Jose A. Lopez-Zeno, Sharon L. Dooley, Michael L. Socol

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

Abstract

Over a 5-year period, 210 patients with gestational diabetes mellitus were delivered of offspring weighing ≥3500 gm. Only three primary cesarean sections were performed electively because of suspected macrosomia. One hundred twenty patients were delivered vaginally. There were 15 shoulder dystocias but only one permanent brachial plexus injury. Seven of the 15 shoulder dystocias occurred in offspring weighing <4000 gm. Of variables examined, only the use of forceps was clearly associated with an increased risk of shoulder dystocia (odds ratio, 5.1). A policy to deliver by cesarean section all fetuses estimated to weigh >4000 gm would considerably increase the number of cesarean sections with minimal fetal benefit.

Original languageEnglish (US)
Pages (from-to)928-930
Number of pages3
JournalAmerican journal of obstetrics and gynecology
Volume165
Issue number4 PART 1
DOIs
StatePublished - Oct 1991

Keywords

  • Shoulder dystocia
  • birth trauma
  • gestational diabetes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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