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Schulterdystokie

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Book cover Die Geburtshilfe

Zusammenfassung

Die Schulterdystokie zählt mit einer mittleren Inzidenz von 0,7% (0,1–2,3%) zu den seltenen, aber besonders gefährlichen Geburtskomplikationen. Mangels klinischer Routineerfahrung kann das adäquate Vorgehen nur im Rahmen von Trainingsprogrammen mit ausreichender Sicherheit vermittelt werden.

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Literatur

  • Acker DB, Gregory KD, Sachs BP, Friedman EA (1988) Risk factors for Erb-Duchenne palsy. Obstet Gynecol 71: 389–392

    PubMed  CAS  Google Scholar 

  • ACOG American College of Obstetricians and Gynecologists (1989) Dystocia. Techn Bull 137.

    Google Scholar 

  • ACOG American College of Obstetricians and Gynecologists (1991) Fetal macrosomia. Techn Bull 159

    Google Scholar 

  • Arbeitsgemeinschaft Medizin recht, Deutsche Gesellschaft für Gynäkologie und Geburtshilfe e.V. (1998) Empfehlungen zur Schulterdystokie. Erkennung, Prävention und Management. Frauenarzt 9: 1369–1370

    Google Scholar 

  • Baskett T, Allen A (1995) Perinatal implications of shoulder dystocia. Obstet Gynecol 86: 14–17

    Article  PubMed  CAS  Google Scholar 

  • Benedetti TJ (1989) Added complications of shoulder dystocia. Contemp Obstet Gynecol 33: 150–161

    Google Scholar 

  • Combs CA, Singh NB, Khoury JC (1993) Elective induction versus spontaneous labor after sonographic diagnosis of fetal macrosomia. Obstet Gynecol 81: 492–496

    PubMed  CAS  Google Scholar 

  • Coustan DR, Imarah J (1984) Prophylactic insulin treatment of gestational diabetes reduces the incidence of macrosomia, operative delivery, and birth trauma. Am J Obstet Gynecol 150: 836–842

    PubMed  CAS  Google Scholar 

  • Christoffersson M, Rydhstroem H (2002) Shoulder dystocia and bracial plexus injury: a population-based study. Gynecol Obstet Invest 53: 42–47

    Article  PubMed  Google Scholar 

  • Curran JS (1981) Birth-associated injury. Clin Perinatol 8: 111–129

    PubMed  CAS  Google Scholar 

  • Dunn DW, Engle WA (1985) Brachial plexus palsy: intrauterine onset. Pediatr Neurol 1: 367–369

    Article  PubMed  CAS  Google Scholar 

  • Ecker JL, Greenberg JA, Norwitz ER, Nadel AS, Repke JT (1997) Birth weight as a predictor of brachial plexus injury. Obstet Gynecol 89: 643–647

    Article  PubMed  CAS  Google Scholar 

  • Gherman RB, Goodwin TM, Souter I, Neumann K, Ouzounian JG, Paul RH (1997) The McRoberts’maneuver for the alleviation of shoulder dystocia: how successful is it?. Am J Obstet Gynecol 176: 656–661

    Article  PubMed  CAS  Google Scholar 

  • Gherman RB, Tramont J, Muffley P, Goodwin TM (2000) Analysis of McRoberts’ maneuver by x-ray pelvimetry. Obstet Gynecol 95: 43–47

    Article  PubMed  CAS  Google Scholar 

  • Ginsberg NA, Moisidis C (2001) How to predict recurrent shoulder dystocia. Am J Obstet Gynecol 184: 1427–1429

    Article  PubMed  CAS  Google Scholar 

  • Gonik B, Hollyer VL, Allen R (1991) Shoulder dystocia recognition: differences in neonatal risks for injury. Am J Perinatol 8: 31–34

    Article  PubMed  CAS  Google Scholar 

  • Goodwin TM, Banks E, Millar LK, Phelan JP (1997) Catastrophic shoulder dystocia and emergency symphysiotomy. Am J Obstet Gynecol 177: 463–464

    Article  PubMed  CAS  Google Scholar 

  • Gordon M, Rich H, Deutschberger J, Green M (1973) The immediate and longterm outcome of obstetric birth trauma. I. Brachial plexus trauma. Am J Obstet Gynecol 117: 51–56

    PubMed  CAS  Google Scholar 

  • Gross SJ, Shime J, Farine D (1987) Shoulder dystocia: predictors and outcome. A five-year review. Am J Obstet Gynecol 156: 334–336

    PubMed  CAS  Google Scholar 

  • Gross TL, Sokol RJ, Williams T, Thompsen K (1987) Shoulder dystocia: a fetalphysician risk. Am J Obstet Gynecol 156: 1408–1418

    PubMed  CAS  Google Scholar 

  • Hankins GDV, Clark SL (1995) Brachial plexus palsy involving the posterior shoulder at spontaneous vaginal delivery. Am J Perinatol 12: 44–45

    Article  PubMed  CAS  Google Scholar 

  • Hankins GDV, Clark SL, Cunningham FG, Gilstrap III LC (1995) Symphysiotomy. Operative Obstetrics. Appleton & Lange, Norwalk, Connecticut (1995) pp 89–92

    Google Scholar 

  • Keller JD, Lopez-Zeno JA, Dooley SL, Socol ML (1991) Shoulder dystocia and birth trauma in gestational diabetes: a five-year experience. Am J Obstet Gynecol 165: 928–930

    PubMed  CAS  Google Scholar 

  • Kolderup LB, Laros RK, Musci TJ (1997) Incidence of persistent birth injury in macrosomic infants: association with mode of delivery. Am J Obstet Gynecol 177: 37–41

    Article  PubMed  CAS  Google Scholar 

  • Langer O, Berkus MD, Huff RW, Samueloff A (1991) Shoulder dystocia: should the fetus weighing greater than or equal to 4000 grams be delivered by caesarean section?. Am J Obstet Gynecol 165: 831–837

    PubMed  CAS  Google Scholar 

  • Lewis DF, Raymond RC, Perkins MB, Brooks GG, Heymann AR (1995) Recurrence rate of shoulder dystocia. Am J Obstet Gynecol 172: 1369–1371

    Article  PubMed  CAS  Google Scholar 

  • Lurie S, Insler V, Hagay ZJ (1996) Induction of labor at 38 to 39 weeks of gestation reduces the incidence of shoulder dystocia in gestational diabetic patients class A2. Am J Perinatol 13: 293–296

    Article  PubMed  CAS  Google Scholar 

  • Martius G (1986) Operatives Vorgehen bei den Schulterdystokien. In: Martius G (Hrsg) Geburtshilflich-perinatologische Operationen. Thieme, Stuttgart, S 141–146

    Google Scholar 

  • Martius G (1987) Die äußere Überdrehung des Kopfes zur Behandlung des hohen Schultergeradstandes. Geburtshilfe Frauenheilkd 47: 197–201

    Article  PubMed  CAS  Google Scholar 

  • McFarland MB, Langer O, Piper JM, Berkus MD (1996) Perinatal outcome and the type and number of maneuvers in shoulder dystocia. Int J Gynecol Obstet 55: 219–224

    Article  CAS  Google Scholar 

  • Morrison JC, Sanders JR, Magann EF, Wiser WL (1992) The diagnosis and management of dystocia of the shoulder. Surg Gynecol Obstet 175: 515–522

    PubMed  CAS  Google Scholar 

  • Nocon J, McKenzie D, Thomas L, Hanseil R (1993) Shoulder dystocia: an analysis of risks and obstetric maneuvers. Am J Obstet Gynecol 168: 1732–1739

    PubMed  CAS  Google Scholar 

  • O’Leary JA (1993) Cephalic replacement for shoulder dystocia: present status and future role of the Zavanelli maneuver. Obstet Gynecol 82: 847–850

    PubMed  Google Scholar 

  • O’Leary JA, Cuva A (1992) Abdominal rescue after failed cephalic replacement. Obstet Gynecol 80: 514–516

    PubMed  Google Scholar 

  • Roosmalen J van (1987) Symphysiotomy as an alternative to caesarean section. In J Gynaecol Obstet 25: 451–458

    Google Scholar 

  • Rouse DJ, Owen J (1999) Prophylactic caesarean delivery for fetal macrosomia diagnosed by means of ultrasonography — A Faustian bargain?. Am J Obstet Gynecol 181: 332–338

    Article  PubMed  CAS  Google Scholar 

  • Sandmire HF (1987) Shoulder dystocia: a fetal-physician risk. Discussion. Am J Obstet Gynecol 156: 1414–1419

    Google Scholar 

  • Sandmire HF, O’Halloin TJ (1988) Shoulder dystocia: its incidence and associated risk factors. Int J Gynaecol Obstet 26: 65–73

    Article  PubMed  CAS  Google Scholar 

  • Schwenzer T (1994) Die Schulterdystokie und ihre forensischen Aspekte. Gynäkologe 27: 222–228

    PubMed  CAS  Google Scholar 

  • Schwenzer T, Beck L (1997) Ist die Plexusparese nach Schulterdystokie vermeidbar?. Gynäkologe 30: 381–382

    Article  Google Scholar 

  • Smith GCS, Smith MFS, McNay MB, Fleming JEE (1997) The relation between fetal abdominal circumference and birthweight: findings in 3512 pregnancies. Br J Obstet Gynaecol 104: 186–190

    Article  PubMed  CAS  Google Scholar 

  • Spellacy WN, Miller S, Winegar A, Peterson PQ (1985) Macrosomia — maternal characteristics and infant complications. Obstet Gynecol 66: 158–161

    PubMed  CAS  Google Scholar 

  • Wood C, Ng KH, Hounslow D, Benning H (1973) Time — an important variable in normal delivery. J Obstet Gynaecol Br Commonw 80: 295–300

    Article  PubMed  CAS  Google Scholar 

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© 2004 Springer-Verlag Berlin Heidelberg

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Gnirs, J. (2004). Schulterdystokie. In: Schneider, H., Husslein, P., Schneider, KT.M. (eds) Die Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18574-8_44

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  • DOI: https://doi.org/10.1007/978-3-642-18574-8_44

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-30522-4

  • Online ISBN: 978-3-642-18574-8

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