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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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. J Hand Surg Edinb Scotl.

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Macrosomia, shoulder dystocia, brachial plexus, caesarean section. Ultrasonographic Fetal Weight Estimation: Determining factors associated with shoulder dystocia: Clavicle fracture in labor: Caesarean delivery and postpartum maternal mortality: Author information Article notes Copyright and License information Disclaimer.


Support Center Support Center. Evaluation of fetal anthropometric measures to predict the risk for shoulder dystocia. The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. Macrosomic infants weighed between g and g in All of these cases occurred during vaginal delivery.

Deneux-Tharaux C, Delorme P. Please review our privacy policy. We also identified cases of infants with shoulder dystocia occurred in as well as their respective birthweight.


The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. Obdtetricales maternal outcomes associated with fetal macrosomia: National Center for Biotechnology InformationU. Fetal injury associated with cesarean delivery.

The risk for post-traumatic sequelae was 0. The risk for elongation of the brachial plexus was 11 per thousand vaginal deliveries of macrosomic infants. Emergency obstetric simulation obstetrifales Shoulder dystocia is not a complication exclusively associated with macrosomia.

Increased composite maternal and neonatal morbidity associated with ultrasonographically suspected fetal macrosomia.


Epidemiology of shoulder dystocia. Antenatal and intrapartum prediction of shoulder dystocia.

Obstetrical brachial plexus injury in newborn babies delivered by caesarean section. Am J Obstet Gynecol. We conducted a retrospective manouevres of macrosomic births between February and December Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis.

Out of macrosomic births, 9 cases with shoulder dystocia were recorded 2. Abstract The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications.

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Screening for risky deliveries and increasing training of obstetricians on maneuvers in shoulder dystocia seem to be the best way to avoid complications. Neonatal injury at cephalic vaginal delivery: Critical analysis of risk factors for shoulder dystocia. Pan Afr Med J.