alexa Effects of shoulder dystocia training on the incidence of brachial plexus injury.
Reproductive Medicine

Reproductive Medicine

Gynecology & Obstetrics

Author(s): Inglis SR, Feier N, Chetiyaar JB, Naylor MH, Sumersille M,

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Abstract OBJECTIVE: We sought to determine whether implementation of shoulder dystocia training reduces the incidence of obstetric brachial plexus injury (OBPI). STUDY DESIGN: After implementing training for maternity staff, the incidence of OBPI was compared between pretraining and posttraining periods using both univariate and multivariate analyses in deliveries complicated by shoulder dystocia. RESULTS: The overall incidence of OBPI in vaginal deliveries decreased from 0.40\% pretraining to 0.14\% posttraining (P < .01). OBPI after shoulder dystocia dropped from 30\% to 10.67\% posttraining (P < .01). Maternal body mass index (P < .01) and neonatal weight (P = .02) decreased and head-to-body delivery interval increased in the posttraining period (P = .03). Only shoulder dystocia training remained associated with reduced OBPI (P = .02) after logistic regression analysis. OBPI remained less in the posttraining period (P = .01), even after excluding all neonates with birthweights >2 SD above the mean. CONCLUSION: Shoulder dystocia training was associated with a lower incidence of OBPI and the incidence of OBPI in births complicated by shoulder dystocia. Copyright © 2011 Mosby, Inc. All rights reserved. This article was published in Am J Obstet Gynecol and referenced in Gynecology & Obstetrics

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