La dystocie des épaules : analyse descriptive sur dix années dans une maternité de niveau III

Lima, Sergio Monteiro; Chauleur, Céline; Varlet, M.-N.; Guillibert, F.; Patural, Hugues; Collet, François; Seffert, P.; Chêne, Geneviève

doi:10.1016/j.gyobfe.2009.02.014

Cited by 6 publications

(3 citation statements)

References 48 publications

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“… Dystocia that stems from congenital or acquired abnormalities affecting the pelvic canal. These anomalies encompass not only structural irregularities of the bony pelvis but also abnormalities related to the soft tissues that contribute to the composition of the pelvic canal [ 15 , 16 ]. The above distinction of dystocia is not absolute, as, in many cases, causes belonging to different categories contribute to the manifestation of dystocia.…”

Section: Diagnosismentioning

confidence: 99%

“…In most cases, labor progress is delayed or becomes impossible, necessitating delivery via caesarean section. The historical practice of attempting to convert a brow presentation into an occipital position through various manipulations is no longer considered appropriate in modern obstetrics [ 7 , 16 , 17 , 18 , 19 ].…”

Section: Diagnosismentioning

confidence: 99%

“…We have an extension of the latent phase when its duration exceeds 20 h for primipara and 14 h for multipara. Causes include heavy sedation, regional anesthesia, immaturity of the cervix (low Bishop score), and false labor [ 6 , 9 , 16 , 17 ]. The latter refers to irregular contractions without a progressive increase in intensity, duration, and frequency.…”

Section: Clinical Manifestations Of Dystociamentioning

confidence: 99%

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Shoulder Dystocia: A Comprehensive Literature Review on Diagnosis, Prevention, Complications, Prognosis, and Management

Tsikouras,

Kotanidou,

Nikolettos

et al. 2024

JPM

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The term dystocia refers to labor characterized by a slow progression with delayed rates or even pauses in the dilation of the cervix or the descent of the fetus. Dystocia describes the deviation from the limits that define a normal birth and is often used as a synonym for the term pathological birth. Shoulder dystocia, also known as the manual exit of the shoulders during vaginal delivery on cephalic presentation, is defined as the “failure of the shoulders to spontaneously traverse the pelvis after delivery of the fetal head”. This means that obstetric interventions are necessary to deliver the fetus’s body after the head has been delivered, as gentle traction has failed. Abnormal labor (dystocia) is expressed and represented in partograms or by the prolongation of the latent phase or by slowing and pausing in the phases of cervical dilatation and fetal descent. While partograms are helpful in visualizing the progress of labor, regular use of them has not been shown to enhance obstetric outcomes considerably, and no partogram has been shown to be superior to others in comparative trials. Dystocia can, therefore, appear in any phase of the evolution of childbirth, so it is necessary to simultaneously assess all the factors that may contribute to its abnormal evolution, that is, the forces exerted, the weight, the shape, the presentation and position of the fetus, the integrity and morphology of the pelvis, and its relation to the fetus. When this complication occurs, it can result in an increased incidence of maternal morbidity, as well as an increased incidence of neonatal morbidity and mortality. Although several risk factors are associated with shoulder dystocia, it has proven impossible to recognize individual cases of shoulder dystocia in practice before they occur during labor. Various guidelines have been published for the management of shoulder dystocia, with the primary goal of educating the obstetrician and midwife on the importance of a preplanned sequence of maneuvers, thereby reducing maternal and neonatal morbidity and mortality.

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Section: Diagnosismentioning

confidence: 99%