ABSTRACT
Our objective was to compare national guidelines regarding shoulder dystocia. Along with the American College of Obstetricians and Gynecologists (ACOG) practice bulletin on shoulder dystocia, guidelines from England, Canada, Australia, and New Zealand were reviewed. The Royal College of Obstetricians and Gynaecologists (RCOG) guideline agrees with the ACOG definition of shoulder dystocia, but there are variances in the management of suspected macrosomia and resolution of impacted shoulders. How recommendations are categorized differ also. Only 53% (20 of 38) of eligible references are cited by both publications. The two national guidelines on shoulder dystocia have differences and disagreements with each other, raising concerns about how the literature is synthesized and which is more comprehensive.
KEYWORDS
Shoulder dystocia - ACOG - RCOG - national guidelines
REFERENCES
-
1 American College of Obstetricians and Gynecologists .Shoulder Dystocia. ACOG Practice Pattern No. 40. Washington, DC; ACOG 2002
-
2 American College of Obstetricians and Gynecologists .Reading the Medical Literature: Applying Evidence to Practice. Washington DC; ACOG 1998
-
3 American College of Obstetricians and Gynecologists .Practice Bulletins. Washington, DC; ACOG 2008 Available at: http://www.acog.org/member_access/lists/practbul.cfm
-
4 Royal College of Obstetricians and Gynaecologists .Green-Top Guidelines. London, UK; RCOG 2007 Available at: http://www.rcog.org.uk/index.asp?PageID=1042
-
5 Society of Obstetricians and Gynaecologists of Canada .Clinical Practice Guidelines. Ottawa, ON; SOGC 2008 [updated May 28, 2008] Available at: http://www.sogc.org/guidelines/index_e.asp
-
6 Royal Australian and New Zealand College of Obstetricians and Gynaecologists .College statements. East Melbourne, Australia; RANZCO 2008 Available at: http://www.ranzcog.edu.au/publications/collegestatements.shtml
-
7
Chauhan S P, Gupta L M, Hendrix N W, Berghella V.
Intrauterine growth restriction: comparison of ACOG Practice Bulletin with other national guidelines.
Am J Obstet Gynecol.
2009;
200(4)
409
-
8 Royal College of Obstetricians and Gynecologists .Shoulder Dystocia. Guideline No. 42. London, UK; RCOG 2005
-
9
Spong C Y, Beall M, Rodrigues D, Ross M G.
An objective definition of shoulder dystocia: prolonged head-to-body delivery intervals and/or the use of ancillary obstetric maneuvers.
Obstet Gynecol.
1995;
86(3)
433-436
-
10
Beall M H, Spong C, McKay J, Ross M G.
Objective definition of shoulder dystocia: a prospective evaluation.
Am J Obstet Gynecol.
1998;
179(4)
934-937
-
11
McFarland M, Hod M, Piper J M, Xenakis E M, Langer O.
Are labor abnormalities more common in shoulder dystocia?.
Am J Obstet Gynecol.
1995;
173
1211-1214
-
12
Gemer O, Bergman M, Segal S.
Labor abnormalities as a risk factor for shoulder dystocia.
Acta Obstet Gynecol Scand.
1999;
78(8)
735-736
-
13
Lurie S, Levy R, Ben-Arie A, Hagay Z.
Shoulder dystocia: could it be deduced from the labor partogram?.
Am J Perinatol.
1995;
12(1)
61-62
-
14
Gonen O, Rosen D J, Dolfin Z, Tepper R, Markov S, Fejgin M D.
Induction of labor versus expectant management in macrosomia: a randomized study.
Obstet Gynecol.
1997;
89(6)
913-917
-
15
Leaphart W L, Meyer M C, Capeless E L.
Labor induction with a prenatal diagnosis of fetal macrosomia.
J Matern Fetal Med.
1997;
6(2)
99-102
-
16
Centre for Reviews and Dissemination, NSH Centre for Reviews and Dissemination .
Expectant management versus labor induction for suspected fetal macrosomia.
Database of abstracts of reviews of effectiveness.
2004;
2
2
-
17
Irion O, Boulvain M.
Induction of labour for suspected fetal macrosomia.
Cochrane Database Syst Rev.
2000;
(2)
CD000938
-
18
Gherman R B, Goodwin T M, Souter I, Neumann K, Ouzounian J G.
The McRoberts' maneuver for the alleviation of shoulder dystocia: how successful is it?.
Am J Obstet Gynecol.
1997;
176
656-661
-
19
Hopwood Jr H G.
Shoulder dystocia: fifteen years' experience in a community hospital.
Am J Obstet Gynecol.
1982;
144(2)
162-166
-
20
Baskett T F, Allen A C.
Perinatal implications of shoulder dystocia.
Obstet Gynecol.
1995;
86(1)
14-17
-
21
Acker D B, Sachs B P, Friedman E A.
Risk factors for shoulder dystocia.
Obstet Gynecol.
1985;
66(6)
762-768
-
22
Gross S J, Shime J, Farine D.
Shoulder dystocia: predictors and outcome. A five-year review.
Am J Obstet Gynecol.
1987;
156(2)
334-336
-
23
Rouse D J, Owen J, Goldenberg R L, Cliver S P.
The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound.
JAMA.
1996;
276(18)
1480-1486
-
24
el Madany A A, Jallad K B, Radi F A, el Hamdan H, O'deh H M.
Shoulder dystocia: anticipation and outcome.
Int J Gynaecol Obstet.
1991;
34
7-12
-
25
Hassan A A.
Shoulder dystocia: risk factors and prevention.
Aust N Z J Obstet Gynaecol.
1988;
28(2)
107-109
-
26
Morrison J C, Sanders J R, Magann E F, Wiser W L.
The diagnosis and management of dystocia of the shoulder.
Surg Gynecol Obstet.
1992;
175(6)
515-522
-
27
al-Najashi S, al-Suleiman S A, el-Yahia A, Rahman M S, Rahman J.
Shoulder dystocia—a clinical study of 56 cases.
Aust N Z J Obstet Gynaecol.
1989;
29(2)
129-132
-
28
Keller J D, López-Zeno J A, Dooley S L, Socol M L.
Shoulder dystocia and birth trauma in gestational diabetes: a five-year experience.
Am J Obstet Gynecol.
1991;
165(4 Pt 1)
928-930
-
29
Gross T L, Sokol R J, Williams T, Thompson K.
Shoulder dystocia: a fetal-physician risk.
Am J Obstet Gynecol.
1987;
156(6)
1408-1418
-
30
Gonik B, Hollyer V L, Allen R.
Shoulder dystocia recognition: differences in neonatal risks for injury.
Am J Perinatol.
1991;
8(1)
31-34
-
31
Gherman R B, Ouzounian J G, Goodwin T M.
Obstetric maneuvers for shoulder dystocia and associated fetal morbidity.
Am J Obstet Gynecol.
1998;
178(6)
1126-1130
-
32
Gherman R B, Ouzounian J G, Miller D A, Kwok L, Goodwin T M.
Spontaneous vaginal delivery: a risk factor for Erb's palsy?.
Am J Obstet Gynecol.
1998;
178(3)
423-427
-
33
Gilbert W M, Nesbitt T S, Danielsen B.
Associated factors in 1611 cases of brachial plexus injury.
Obstet Gynecol.
1999;
93(4)
536-540
-
34
Gherman R B, Ouzounian J G, Goodwin T M.
Brachial plexus palsy: an in utero injury?.
Am J Obstet Gynecol.
1999;
180(5)
1303-1307
-
35
Graham E M, Forouzan I, Morgan M A.
A retrospective analysis of Erb's palsy cases and their relation to birth weight and trauma at delivery.
J Matern Fetal Med.
1997;
6(1)
1-5
-
36
Gherman R B, Goodwin T M, Ouzounian J G, Miller D A, Paul R H.
Brachial plexus palsy associated with cesarean section: an in utero injury?.
Am J Obstet Gynecol.
1997;
177(5)
1162-1164
-
37
Boulvain M, Stan C, Irion O.
Elective delivery in diabetic pregnant women.
Cochrane Database Syst Rev.
2001;
(2)
CD001997
-
38
Kjos S L, Henry O A, Montoro M, Buchanan T A, Mestman J H.
Insulin-requiring diabetes in pregnancy: a randomized trial of active induction of labor and expectant management.
Am J Obstet Gynecol.
1993;
169(3)
611-615
-
39
Ginsberg N A, Moisidis C.
How to predict recurrent shoulder dystocia.
Am J Obstet Gynecol.
2001;
184(7)
1427-1429, discussion 1429–1430
-
40
Clark S L, Belfort M A, Byrum S L, Meyers J A, Perlin J B.
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of new paradigm in patient safety.
Am J Obstet Gynecol.
2008;
199
105e1-105e7
Suneet P ChauhanM.D.
Aurora Health Care, 8901 W. Lincoln Avenue
PAC, West Allis, WI 53227
Email: suneet.chauhan@aurora.org
