6 déc. Cette dystocie a été réduite par la manoeuvre de MacRoberts dans 6 le recours à des manœuvres obstétricales autres que la traction douce. La prise en charge de l’accouchement du deuxième jumeau doit être active et repose sur la connaissance de manœuvres obstétricales spécifiques. Présentation transversale ou de l’épaule () Version par manœuvre Il est également important de réduire au maximum les manœuvres obstétricales.

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Author information Article notes Copyright and License information Disclaimer. J Hand Surg Edinb Scotl.

Open in a separate window. Macrosomia, shoulder dystocia, brachial plexus, caesarean section. National Center for Biotechnology InformationU.

Fetal injury associated with cesarean delivery. Tous ces cas sont survenus lors d’accouchements par voie basse. Neonatal complications related to shoulder dystocia.

The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. Neonatal injury at cephalic vaginal delivery: Adverse maternal outcomes associated with fetal macrosomia: Evaluation of fetal anthropometric measures to predict the risk for shoulder dystocia.


We also identified cases of infants with shoulder dystocia occurred in as obstetrlcales as their respective birthweight. Increased composite maternal and neonatal morbidity associated with ultrasonographically suspected fetal macrosomia.

The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. Out of macrosomic births, 9 cases with shoulder dystocia were recorded 2. Deneux-Tharaux C, Delorme P. Support Center Support Center. We conducted a retrospective study of macrosomic births between February and December All of these cases occurred during vaginal delivery. Determining factors associated with shoulder dystocia: Macrosomic infants weighed between g and g in Manoeuvrss shoulder dystocia be reliably predicted?

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Epidemiology of shoulder dystocia. The risk for elongation of the brachial plexus was 11 per thousand vaginal deliveries of macrosomic infants. Pan Afr Med J.

This study aims to evaluate the interest of preventive caesarean section. Emergency obstetric simulation training: Abstract The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. Screening for risky deliveries and increasing training of obstetricians on maneuvers in shoulder dystocia seem to be the best way to avoid complications. Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis.


Shoulder dystocia is not a complication exclusively associated with macrosomia. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Clavicle fracture in labor: Am J Obstet Gynecol.

The risk for post-traumatic sequelae was 0. Shoulder dystocia is the most feared fetal complication, leading sometimes to a disproportionate use of caesarean section.

Please review our privacy policy. Obstetrical brachial plexus injury in newborn babies delivered by caesarean section. Antenatal and intrapartum prediction of shoulder dystocia. Critical analysis of risk factors for shoulder dystocia. Ultrasonographic Fetal Weight Estimation: Caesarean delivery and postpartum maternal mortality: