ArticleObstetrics and gynecology2011
A comparison of obstetric maneuvers for the acute management of shoulder dystocia.
Article in Obstetrics and gynecology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 173 citations in OpenAlex.
- Neonatal birth trauma and associated factors in low and middle-income countries: A systematic review and meta-analysis.PloS one · 2024Pooled it
- Overcoming shoulder dystocia with the Zavanelli maneuver: a case report.International journal of surgery case reports · 2026Article
- Risk factors for shoulder dystocia-related brachial plexus injuries: A case-control study.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Article
- Studying the effects of McRoberts and neonate-focused maneuvers on the neonatal brachial plexus during shoulder dystocia.Frontiers in bioengineering and biotechnology · 2025Article
- Video analysis of real-life shoulder dystocia to assess technical and non-technical performance.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Maternal and neonatal complications of shoulder dystocia with a focus on obstetric maneuvers: A case-control study of 1103 deliveries.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Sudden Collapse of a Newborn Infant Following Delivery Complicated by Shoulder Dystocia.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2024Article
- Studying the Effects of Shoulder Dystocia and Neonate-Focused Delivery Maneuvers on Brachial Plexus Strain: A Computational Study.Journal of biomechanical engineering · 2024Article
- Action competence in obstetric emergencies-can this be achieved via e-learning? Interprofessional blended learning module on diagnostics and emergency treatment of shoulder dystocia.BMC medical education · 2023Article
- The Inverse Shoehorn Maneuver for the Management of Obstetric Shoulder Dystocia.The Permanente journal · 2023Article
- Management of shoulder dystocia.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Article
- Percent error of ultrasound examination to estimate fetal weight at term in different categories of birth weight with focus on maternal diabetes and obesity.BMC pregnancy and childbirth · 2022Article
- Shoulder dystocia and composite adverse outcomes for the maternal-neonatal dyad.American journal of obstetrics & gynecology MFM · 2021Observational
- Circumferential shoulder laceration after posterior axilla sling traction: a case report of severe shoulder dystocia.BMC pregnancy and childbirth · 2021Article
- Neonatal and Maternal Composite Adverse Outcomes Among Low-Risk Nulliparous Women Compared With Multiparous Women at 39-41 Weeks of Gestation.Obstetrics and gynecology · 2020Observational
- The Carit Maneuver: A Novel Approach for the Relief of Shoulder Dystocia-A Case Series.AJP reports · 2020Article
- Persistence and Extent of Neonatal Brachial Plexus Palsy: Association with Number of Maneuvers and Duration of Shoulder Dystocia.AJP reports · 2020Article
- Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia.Obstetrics and gynecology · 2019Article
- Shoulder Dystocia Delivery by Emergency Medicine Residents: A High-fidelity versus a Novel Low-fidelity Simulation Model-A Pilot Study.AEM education and training · 2017Article
Corrections and comments
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Authors and funding
19 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the efficacy of obstetric maneuvers for resolving shoulder dystocia and the effect that these maneuvers have on neonatal injury when shoulder dystocia occurs.
methodsUsing an electronic database encompassing 206,969 deliveries, we identified all women with a vertex fetus beyond 34 0/7 weeks of gestation who incurred a shoulder dystocia during the process of delivery. Women whose fetuses had a congenital anomaly and women with an antepartum stillbirth were excluded. Medical records of all cases were reviewed by trained abstractors. Cases involving neonatal injury (defined as brachial plexus injury, clavicular or humerus fracture, or hypoxic-ischemic encephalopathy or intrapartum neonatal death attributed to the shoulder dystocia) were compared with those without injury.
resultsAmong 132,098 women who delivered a term cephalic liveborn fetus vaginally, 2,018 incurred a shoulder dystocia (1.5%), and 101 (5.2%) of these incurred a neonatal injury. Delivery of the posterior shoulder was associated with the highest rate of delivery when compared with other maneuvers (84.4% compared with 24.3-72.0% for other maneuvers; P<.005 to P<.001) and similar rates of neonatal injury (8.4% compared with 6.1-14.0%; P=.23 to P=.7). The total number of maneuvers performed significantly correlated with the rate of neonatal injury (P<.001).
conclusionDelivery of the posterior shoulder should be considered following the McRoberts maneuver and suprapubic pressure in the management of shoulder dystocia. The need for additional maneuvers was associated with higher rates of neonatal injury.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.