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Shoulder Dystocia Protocol Reduces Brachial Plexus Injuries


 

THE ANNUAL MEETING OF THE SOCIETY FOR MATERNAL-FETAL MEDICINE

The interval between delivery of the infant’s head and body in cases of shoulder dystocia was longer in the posttraining period than in the pretraining period (2.0 minutes vs. 1.5 minutes; P = .03).

"We wanted everyone to go slowly, so we were actually happy to see that the head-body interval went up," commented Dr. Inglis. "That certainly didn’t seem to worsen the risk of Erb’s palsy."

Study results also showed that staff were more likely to use the Rubin maneuver (P = .02) and posterior arm delivery (P = .03) in the posttraining vs. pretraining period, and were less likely to use the McRoberts maneuver (P less than .01).

Dr. Inglis did not report any relevant financial disclosures.

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