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Association of Head Circumference and Shoulder Dystocia in Macrosomic Neonates

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.

  • 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
Posted in: Journal Article Abstracts on 04/14/2012 | Link to this post on IFP |
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