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Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study

Our aim was to identify factors associated with shoulder dystocia following an attempted operative vaginal delivery (aOVD) in a prospective cohort study and to evaluate whether these factors can be used to accurately predict shoulder dystocia by building a score of shoulder dystocia risk. This was a...

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Autores principales: Bouchghoul, Hanane, Hamel, Jean-François, Mattuizzi, Aurélien, Ducarme, Guillaume, Froeliger, Alizée, Madar, Hugo, Sentilhes, Loïc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931691/
https://www.ncbi.nlm.nih.gov/pubmed/36792626
http://dx.doi.org/10.1038/s41598-023-29109-7
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author Bouchghoul, Hanane
Hamel, Jean-François
Mattuizzi, Aurélien
Ducarme, Guillaume
Froeliger, Alizée
Madar, Hugo
Sentilhes, Loïc
author_facet Bouchghoul, Hanane
Hamel, Jean-François
Mattuizzi, Aurélien
Ducarme, Guillaume
Froeliger, Alizée
Madar, Hugo
Sentilhes, Loïc
author_sort Bouchghoul, Hanane
collection PubMed
description Our aim was to identify factors associated with shoulder dystocia following an attempted operative vaginal delivery (aOVD) in a prospective cohort study and to evaluate whether these factors can be used to accurately predict shoulder dystocia by building a score of shoulder dystocia risk. This was a planned secondary analysis of a prospective cohort study of deliveries with aOVD at term from 2008–2013. Cases were defined as women with shoulder dystocia following an aOVD defined as a delivery that requires additional obstetric maneuvers following failure of gentle downward traction on the fetal head to effect delivery of the shoulders. Multivariate logistic regression analyses were performed to determine risk factors for shoulder dystocia. Shoulder dystocia occurred in 57 (2.7%) of the 2118 women included. In the whole cohort, women with shoulder dystocia more often had a history of shoulder dystocia (3.5% vs. 0.2%, p = 0.01), and there was a significant interaction between aOVD and gestational age and the duration of the second stage of labor: women with shoulder dystocia more often had a gestational age > 40 weeks and a second stage of labor longer than 3 h specifically for midpelvic aOVD. In multivariable analysis, a history of shoulder dystocia was the only factor independently associated with shoulder dystocia following aOVD (aOR 27.00, 95% CI 4.10–178.00). The AUC for the receiver operating characteristic curve generated using a multivariate model with term interaction with head station was 0.70 (95% CI 0.62–0.77). The model failed to accurately predict shoulder dystocia.
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spelling pubmed-99316912023-02-17 Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study Bouchghoul, Hanane Hamel, Jean-François Mattuizzi, Aurélien Ducarme, Guillaume Froeliger, Alizée Madar, Hugo Sentilhes, Loïc Sci Rep Article Our aim was to identify factors associated with shoulder dystocia following an attempted operative vaginal delivery (aOVD) in a prospective cohort study and to evaluate whether these factors can be used to accurately predict shoulder dystocia by building a score of shoulder dystocia risk. This was a planned secondary analysis of a prospective cohort study of deliveries with aOVD at term from 2008–2013. Cases were defined as women with shoulder dystocia following an aOVD defined as a delivery that requires additional obstetric maneuvers following failure of gentle downward traction on the fetal head to effect delivery of the shoulders. Multivariate logistic regression analyses were performed to determine risk factors for shoulder dystocia. Shoulder dystocia occurred in 57 (2.7%) of the 2118 women included. In the whole cohort, women with shoulder dystocia more often had a history of shoulder dystocia (3.5% vs. 0.2%, p = 0.01), and there was a significant interaction between aOVD and gestational age and the duration of the second stage of labor: women with shoulder dystocia more often had a gestational age > 40 weeks and a second stage of labor longer than 3 h specifically for midpelvic aOVD. In multivariable analysis, a history of shoulder dystocia was the only factor independently associated with shoulder dystocia following aOVD (aOR 27.00, 95% CI 4.10–178.00). The AUC for the receiver operating characteristic curve generated using a multivariate model with term interaction with head station was 0.70 (95% CI 0.62–0.77). The model failed to accurately predict shoulder dystocia. Nature Publishing Group UK 2023-02-15 /pmc/articles/PMC9931691/ /pubmed/36792626 http://dx.doi.org/10.1038/s41598-023-29109-7 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Bouchghoul, Hanane
Hamel, Jean-François
Mattuizzi, Aurélien
Ducarme, Guillaume
Froeliger, Alizée
Madar, Hugo
Sentilhes, Loïc
Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title_full Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title_fullStr Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title_full_unstemmed Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title_short Predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
title_sort predictors of shoulder dystocia at the time of operative vaginal delivery: a prospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931691/
https://www.ncbi.nlm.nih.gov/pubmed/36792626
http://dx.doi.org/10.1038/s41598-023-29109-7
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