| Autor: |
Julia, Vetterlein, Cornelius A E, Doehmen, Holger, Voss, Luisa, Dittkrist, Christine, Klapp, Wolfgang, Henrich, Babett, Ramsauer, Dietmar, Schlembach, Michael, Abou-Dakn, Michael J A, Maresh, Ute M, Schaefer-Graf |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Archives of gynecology and obstetrics. 304(5) |
| ISSN: |
1432-0711 |
| Popis: |
To estimate the risk of shoulder dystocia (SD) in pregnancies with/without maternal diabetes or obesity; to identify antenatal maternal and fetal ultrasound-derived risk factors and calculate their contributions.A multicenter retrospective analysis of 13,428 deliveries in three tertiary hospitals (2014-2017) with fetal ultrasound data ≤ 14 days prior to delivery (n = 7396).singleton pregnancies in women ≥ 18 years old; vertex presentation; vaginal delivery at ≥ 37 weeks of gestation. Estimated fetal weight (EFW) and birth weight (BW) were categorized by steps of 250 g. To evaluate risk factors, a model was performed using ultrasound data with SD as the dependent variable.Diabetes was present in 9.3%; BMI ≥ 30 kg/mIndependent of diabetes, which remains a risk factor for SD, a significant increase may be expected if the EFW is ≥ 4250 g and AC-HC is ≥ 2.5 cm. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink