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Dystocia rate constant despite risk factors: parity, c-section, birth weight studied.
WASHINGTON -- Shoulder dystocia appears to occur at a constant rate, despite increased cesarean sections and variations in other risk factors, Dr. Michael Lucas reported at the annual meeting of the Society for Gynecologic Investigation.
"It seems counterintuitive," said Dr. Lucas of the University of Texas, Houston, in an interview. "There's this notion that if we manipulate the risk factors we should see a lower rate of shoulder dystocia, but that does not appear to be the case."
His study of more than 12,650 births in two Houston hospitals showed a similar rate of shoulder dystocia, despite differences in the risk factors of parity, birth weight, cesarean delivery, and operative vaginal delivery between the two hospital populations. The findings could have implications in the defense of shoulder dystocia cases.
"The argument has always been that there are risk factors for shoulder dystocia, which the physician should have acted on," he said. "Our data suggest this is not true. It may at least be argued that we can take a population with a much different rate of risk factors and have virtually the same rate of shoulder dystocia. This is important clinically, because it supports the notion that our options and our ability to avoid trauma with this complication are limited."
Dr. Lucas researched the obstetric databases of an urban public hospital and a community teaching hospital, both in ...
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- Press release article from: PR Newswire February 2, 2006 700+ words
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- Magazine article from: OB GYN News Moon, Mary Ann December 15, 2004 700+ words
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Source: HighBeam Research, Dystocia rate constant despite risk factors: parity, c-section, birth...