Shoulder Dystocia and Birth Injury: Prevention and Treatment / Edition 1

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During the past several years, there has been an extensive reappraisal of the physiologic changes of pregnancy and their associated disorders, along with a refinement of diagnostic procedures and evaluation of the therapeutic approaches that are of primary concern to the physician. In Shoulder Dystocia and Birth Injury: Prevention and Treatment, Third Edition, noted authority James A. O'Leary, MD, with 40 years experience as an MD, academician, lecturer, practitioner, and clinical researcher with almost 200 contributions to the OB-GYN literature and textbooks, shares his insight on treatment techniques, identification and treatment of predisposing risk factors, current statistical data, ultrasound diagnosis and the necessary steps toward prevention, along with a thorough review of the important medical-legal issues.

Identification/treatment of risk factors; ultrasound diagnosis; preventing problems; medico-legal aspects.

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Editorial Reviews

Doody's Review Service
Reviewer: Gilad A. Gross, MD (Washington University School of Medicine)
Description: This third edition of a comprehensive review of shoulder dystocia (SD) details nearly every aspect of SD including prevention, recognition, treatment, outcomes, and other implications (such as medicolegal) from both a research standpoint and clinical (especially author) experience. It is not clear how this edition differs from previous editions.
Purpose: The intent is to make practitioners aware of patients at risk for SD and the means to prevent this potentially devastating complication. Additional goals are to present mechanisms of treatment and means to prevent/minimize neonatal injury. These are quite worthy objectives given the potential severity of this obstetric complication and, overall, the objectives are met.
Audience: Physicians, midwives, and professionals in training are the intended audience. Students wishing to learn more about SD could also turn to this as a reference.
Features: The book initially focuses on risk factors and means to identify at-risk patients and reduce the chance of SD. Special attention is given to diabetes. Recognition and treatment measures/maneuvers are detailed and outcomes of neonates are examined. Medicolegal considerations receive ample attention and a chapter covers implications for midwifery. The fact that this book is dedicated to one major complication of pregnancy makes it quite unique. Individuals with an interest in SD will enjoy having this as part of their library. However, there is a fair amount of overlap, especially in chapters 13-15 where contributing authors repeat a lot of the information previously presented by the main author. The book could benefit from more illustrations, especially in chapter 5 on pelvimetry, which is very hard to follow. Author bias is apparent in several recommendations that are based on experience rather than evidence-based data. In a chapter dedicated to in utero causes of brachial plexus injury, it is easy to detect the author's opinions of this area of research.
Assessment: For practitioners or researchers with an interest in SD, this is a valuable book. If one is presenting SD in a paper or lecture, this can be very useful. Those involved in medicolegal work may also gain something from this resource. This unique book is a good contribution to the field of obstetrics.
Colleen P. McNicholas, DO (Washington University School of Medicine) contributed to this review.
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Product Details

  • ISBN-13: 9780071053938
  • Publisher: McGraw-Hill Companies, The
  • Publication date: 1/28/1992
  • Edition number: 1
  • Pages: 234
  • Product dimensions: 5.98 (w) x 9.02 (h) x 0.63 (d)

Table of Contents

Pt. I Prevention

1 Preconceptual Risk Factors James A. O'Leary O'Leary, James A. 3

2 Antepartum Risk Factors James A. O'Leary O'Leary, James A. 15

3 Role of Ultrasound in Shoulder Dystocia James A. O'Leary O'Leary, James A. 33

4 Intrapartum Risk Factors James A. O'Leary O'Leary, James A. 49

5 Pelvimetry James A. O'Leary O'Leary, James A. 59

Pt. II Treatment

6 Recognition of Disproportion James A. O'Leary O'Leary, James A. 71

7 Delivery Techniques James A. O'Leary O'Leary, James A. 89

8 The McRoberts Maneuver James A. O'Leary O'Leary, James A. 107

9 Cephalic Replacement: The Gunn-Zavanelli-O'Leary Maneuver James A. O'Leary O'Leary, James A. 119

10 Infant Injury James A. O'Leary O'Leary, James A. 129

Pt. III Clinical Considerations

11 In Utero Causation of Brachial Plexus Injury: Myth or Mystery? James A. O'Leary O'Leary, James A. 147

12 Recurrent Shoulder Dystocia James A. O'Leary O'Leary, James A. 163

13 Predisposing Factors for Shoulder Dystocia-Related Birth Injuries: Causation Analysis Leslie Iffy Iffy, Leslie Joseph J. Apuzzio Apuzzio, Joseph J. Vijaya Raju Raju, Vijaya 169

14 Recognition, Classification, and Management of Shoulder Dystocia: The Relationship to Causation of Brachial Plexus Injury Michael S. Kreitzer Kreitzer, Michael S. 179

15 Minimizing the Risks of Shoulder Dystocia-Related Fetal Injuries Leslie Iffy Iffy, Leslie 209

16 The Maternal Fetal Medicine Viewpoint: Causation and Litigation Barry S. Schifrin Schifrin, Barry S. Wayne R. Cohen Cohen, Wayne R. 227

17 Brachial Plexus injury at Cesarean Section Michael S. Kreitzer Kreitzer, Michael S. James A. O'Leary O'Leary, James A. 249

18 Delivery of the NondiabeticMacrosomic Infant Lisa Gittens-Williams Gittens-Williams, Lisa 257

19 The Midwifery View of Shoulder Dystocia Judith S. Mercer Mercer, Judith S. Debra A. Erickson-Owens Erickson-Owens, Debra A. 269

20 Recent Research: Relevant and Reliable James A. O'Leary O'Leary, James A. 285

21 Observations on the Etiology of Brachial Plexus Birth Palsy Based on Radiographic, Intraoperative, and Histologic Findings Stephen M. Russell Russell, Stephen M. Israel Alfonso Alfonso, Israel John A. I. Grossman Grossman, John A. I. 289

Index 295

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