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Original ArticleOpen Access
Shoulder Dystocia : Fifteen Years' Experience in Ramathibodi Hospital
Roungsipragarn R 
,
Herabutya Y
,
Herabutya Y Although shoulder dystocia does not occur frequently the adverse effect to the patient
and especially to infants can be catastrophic. The purpose of this study was to evaluate the
incidence, the factors which may be related to or predispose to this condition and the consequence
to the patients and their infants. All cases of shoulder dystocia which occurred during the fifteen
year period from January 1982 to December 1996 were scrutinized. There were 17 cases of
shoulder dystocia from a total of 109,923 deliverit::s giving the incidence of 1.6 per I 0,000 deliveries.
Of these 17 patients, 11 (65%) were delivered by vacuum extraction. Two patients had
postpartum hemorrhage requiring blood transfusion. Infants' birthweights ranged between 3350
to 5160 grams. Erb's palsy occurred in 6 infants and all made full recovery subsequently.
and especially to infants can be catastrophic. The purpose of this study was to evaluate the
incidence, the factors which may be related to or predispose to this condition and the consequence
to the patients and their infants. All cases of shoulder dystocia which occurred during the fifteen
year period from January 1982 to December 1996 were scrutinized. There were 17 cases of
shoulder dystocia from a total of 109,923 deliverit::s giving the incidence of 1.6 per I 0,000 deliveries.
Of these 17 patients, 11 (65%) were delivered by vacuum extraction. Two patients had
postpartum hemorrhage requiring blood transfusion. Infants' birthweights ranged between 3350
to 5160 grams. Erb's palsy occurred in 6 infants and all made full recovery subsequently.
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