Abstract
To determine whether asymmetric macrosomia (disproportionately large body size in comparison to head circumference) could
be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer
from shoulder dystocia. A case–control study was conducted as a retrospective chart review over 3 years at a large maternity
hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a
smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically
significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia
is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could
be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.
be demonstrated in a population of infants suffering shoulder dystocia during delivery relative to those that did not suffer
from shoulder dystocia. A case–control study was conducted as a retrospective chart review over 3 years at a large maternity
hospital in an urban setting. Among infants over 4,000 g, those that suffered from shoulder dystocia during delivery had a
smaller mean head circumference than infants of a similar size that did not suffer from shoulder dystocia. A statistically
significant difference was also present when cases of documented gestational diabetes were excluded. Asymmetric macrosomia
is more likely to be present in a population of infants who suffered shoulder dystocia during delivery. This knowledge could
be used in designing tools to predict which pregnancies are at highest risk for shoulder dystocia during delivery.
- Content Type Journal Article
- Pages 1-4
- DOI 10.1007/s10995-012-1013-z
- Authors
- Austin Larson, Children’s Hospital Colorado, University of Colorado Denver, Office of Graduate Medical Education, Box 158, 13123 E 16th Ave, Aurora, CO 80238, USA
- David E. Mandelbaum, Division of Child Neurology, Alpert Medical School of Brown University, Physician’s Office Building, Suite 342, 110 Lockwood St., Providence, RI 02903, USA
- Journal Maternal and Child Health Journal
- Online ISSN 1573-6628
- Print ISSN 1092-7875