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Wrong birth weight no basis for shoulder dystocia suits.(Obstetrics)
WASHINGTON -- Underestimating fetal birth weight is just as rare in cases of shoulder dystocia as it is in normal deliveries, so it should not be used as a basis for litigation in shoulder dystocia cases, Shobha Mehta, M.D., said at the annual meeting of the Central Association of Obstetricians and Gynecologists.
"Inaccurate estimates of fetal weight and failure to detect macrosomia are commonly cited by plaintiffs' attorneys in shoulder dystocia cases" with the implication that a catastrophic outcome could have been predicted and avoided if only the fetal weight hadn't been underestimated, said Dr. Mehta, an ob.gyn. resident at Wayne State University in Detroit.
To clarify whether such underestimation actually does lead to an increase in the rate of shoulder dystocia, she and her associates reviewed the medical records of all cases of shoulder dystocia in singleton births that occurred at their hospital between 1996 and 2001. Out of 31,103 deliveries during that time, they found 206 cases of shoulder dystocia (0.7%) and matched them for parity, birth weight, type of labor, and maternal race with 206 control cases.
The cases and controls were similar in terms of the mothers' clinical characteristics, the actual birth weights ...
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Source: HighBeam Research, Wrong birth weight no basis for shoulder dystocia suits.(Obstetrics)