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J Gynecol Obstet Biol Reprod (Paris). 2007 Feb;36(1):42-9. Epub 2007 Jan 10.

[Prevention of shoulder dystocia by an ultrasound selection at the beginning of labour of foetuses with large abdominal circumference].

[Article in French]

Author information

  • 1Clinique Universitaire de Gynécologie, d'Obstétrique et de la Reproduction, Besançon, France. delphine.maticot@wanadoo.fr

Abstract

OBJECTIVE:

Prevent shoulder dystocia occuring with macrosomic foetuses, by an ultrasound screening, at the beginning of labour, made by a member of obstetrics staff.

MATERIAL AND METHOD:

A prospective study in the maternity hospital, la Mère et l'Enfant of University Teaching Hospital, Besançon, about 170 patients. We have measured only one parameter: the foetal abdominal circumference (AC).

RESULTS:

An AC>or=350 mm had a sensitivity of 100% to detect newborns of birth weight>or=4250 g.

CONCLUSION:

An AC>or=350 mm measured during labour by a member of obstetrics staff allow to alert and to make the staff sensitive to a risk of macrosomia and shoulder dystocia.

PMID:
17293252
[PubMed - indexed for MEDLINE]
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