Does the use of multiple maneuvers in the management of shoulder dystocia increase the risk of neonatal injury?
OBG Management. 2011 August;23(08):51-52
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YES, In this retrospective investigation, the risk of neonatal injury increased with the number of maneuvers employed to resolve shoulder dystocia. Use of five or more maneuvers was associated with a risk of neonatal injury exceeding 20%.
Hoffman MK, Bailit JL, Branch DW, et al, for the Consortium on Safe Labor. A comparison of obstetric maneuvers for the acute management of shoulder dystocia. Obstet Gynecol. 2011;117(6):1272–1278.
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