6 déc. Cette dystocie a été réduite par la manoeuvre de MacRoberts dans 6 le recours à des manœuvres obstétricales autres que la traction douce. La prise en charge de l’accouchement du deuxième jumeau doit être active et repose sur la connaissance de manœuvres obstétricales spécifiques. Présentation transversale ou de l’épaule () Version par manœuvre Il est également important de réduire au maximum les manœuvres obstétricales.

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Tous ces cas sont survenus lors d’accouchements par voie basse. The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications.

[Obstetrical procedures in the case of breech presentation] |

Shoulder dystocia is the most feared fetal complication, leading sometimes to a disproportionate use of caesarean section.

This study aims to evaluate the interest of preventive caesarean section. We conducted a retrospective study of macrosomic births between February and December We also identified cases of infants with shoulder dystocia occurred in as well as their respective birthweight.

Macrosomic infants weighed between g and g in obstetricapes Out of macrosomic births, 9 cases obstehricales shoulder dystocia were recorded 2.


All of these cases occurred during vaginal delivery. The risk for elongation obsteetricales the brachial plexus was 11 per thousand vaginal deliveries of macrosomic infants. The risk for post-traumatic sequelae was 0. Shoulder dystocia is not a complication exclusively associated with macrosomia. Screening for risky deliveries and increasing training of obstetricians on maneuvers in shoulder dystocia seem to be the best way to avoid complications.

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National Center for Biotechnology InformationU. Pan Afr Med J. Author information Article notes Copyright and License information Disclaimer. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits obstetricalew use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract The delivery of a macrosomic infant is associated with a higher risk for maternofoetal complications. Macrosomia, shoulder dystocia, brachial plexus, caesarean section. Open in a separate window.


Adverse maternal outcomes associated with fetal macrosomia: Critical analysis of risk factors for shoulder dystocia. Caesarean delivery and postpartum maternal mortality: Deneux-Tharaux C, Delorme P. Epidemiology of shoulder dystocia.


Obstetrical brachial plexus injury in newborn babies delivered by caesarean section. J Hand Surg Edinb Scotl.

Determining factors associated with shoulder dystocia: Antenatal and intrapartum prediction of shoulder dystocia. Can shoulder dystocia be reliably predicted? Increased composite maternal and neonatal morbidity associated with ultrasonographically suspected fetal macrosomia.

Neonatal complications related to shoulder dystocia. Correlation of head-to-body delivery intervals in shoulder dystocia and umbilical artery acidosis.

Am J Obstet Gynecol.

Neonatal injury at cephalic vaginal delivery: Fetal injury associated with cesarean delivery. Clavicle fracture in labor: Ultrasonographic Fetal Weight Estimation: Evaluation of fetal anthropometric measures to predict the risk for shoulder dystocia. The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound.

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