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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Emergency obstetric simulation training: The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound. Macrosomia, shoulder dystocia, brachial plexus, caesarean section.

Author msnoeuvres Article notes Copyright and License information Disclaimer. The risk for elongation of the brachial plexus was 11 per thousand vaginal deliveries of macrosomic infants. Shoulder dystocia is not a complication exclusively associated with macrosomia.

Out of macrosomic births, 9 cases with shoulder dystocia were recorded 2. Evaluation of fetal anthropometric measures to predict the risk for manoeuvress dystocia.

We also identified cases of infants with shoulder dystocia occurred in as well as their respective birthweight. Tous ces cas sont survenus lors d’accouchements par voie basse. Critical analysis of risk factors for shoulder dystocia. Obstetrical brachial plexus injury in newborn babies delivered by caesarean section.


Abstract The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. Macrosomic infants weighed between g and g in We conducted a retrospective study of macrosomic births between February and December Clavicle fracture in labor: Screening for risky deliveries and increasing training of obstetricians on maneuvers in shoulder obstetricakes seem to be the best way to avoid complications.

Neonatal complications related to shoulder dystocia. Pan Afr Med J. Support Center Support Center. Caesarean delivery and postpartum maternal mortality: The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. J Hand Surg Edinb Scotl.

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Neonatal injury at cephalic vaginal delivery: Can shoulder dystocia be reliably predicted? Open in a separate window.

National Center for Biotechnology InformationU. Ultrasonographic Fetal Weight Estimation: Deneux-Tharaux C, Delorme P.

Please review our privacy policy. Fetal injury associated with cesarean delivery. This study aims to evaluate the interest of preventive caesarean section.


Shoulder dystocia is the most feared fetal complication, leading sometimes to a disproportionate use of caesarean section. Epidemiology of shoulder dystocia.


Increased composite maternal and neonatal morbidity associated with ultrasonographically suspected fetal macrosomia. The risk for post-traumatic sequelae was 0. Determining factors associated with shoulder dystocia: Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis. All of these cases occurred during vaginal delivery.

[Obstetrical procedures in the case of breech presentation] |

Am J Obstet Gynecol. Adverse maternal outcomes associated with fetal macrosomia: Antenatal and intrapartum prediction of shoulder dystocia. 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 obstetriicales.