Shoulder Dystocia and Birth Injury: Prevention and Treatment / Edition 3

by James A. O'Leary

Overview

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 Dysia and Birth Injury: Prevention and Treatment, Third Edition, noted authority James A. O’Leary, M.D., with 40 years experience as an M.D. 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.

Shoulder Dysia and Birth Injury: Prevention and Treatment, Third Edition supplements the limits of personal experience with the accumulated experience of many talented clinicians to aid physicians, midwives, and professionals in training with the most current information in this vital field.

Product Details

ISBN-13:	9781617379277
Publisher:	Springer-Verlag New York, LLC
Publication date:	11/05/2010
Edition description:	Softcover reprint of hardcover 3rd ed. 2009
Pages:	304
Product dimensions:	6.10(w) x 9.10(h) x 0.80(d)

Table of Contents

Prevention.- Preconceptual Risk Factors.- Antepartum Risk Factors.- Role of Ultrasound in Shoulder Dysia.- Intrapartum Risk Factors.- Pelvimetry.- Treatment.- Recognition of Disproportion.- Delivery Techniques.- The McRoberts Maneuver.- Cephalic Replacement: The Gunn-Zavanelli-O’Leary Maneuver.- Infant Injury.- Clinical Considerations.- In Utero Causation of Brachial Plexus Injury: Myth or Mystery?.- Recurrent Shoulder Dysia.- Predisposing Factors for Shoulder Dysia-Related Birth Injuries: Causation Analysis.- Recognition, Classification, and Management of Shoulder Dysia: The Relationship to Causation of Brachial Plexus Injury.- Minimizing the Risks of Shoulder Dysia-Related Fetal Injuries.- The Maternal Fetal Medicine Viewpoint: Causation and Litigation.- Brachial Plexus Injury at Cesarean Section.- Delivery of the Nondiabetic Macrosomic Infant.- The Midwifery View of Shoulder Dysia.- Recent Research: Relevant and Reliable.- Observations on the Etiology of Brachial Plexus Birth Palsy Based on Radiographic, Intraoperative, and Histologic Findings.

Editorial Reviews

From the reviews of the third edition:

"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 … . 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. … For practitioners or researchers with an interest in SD, this is a valuable book. … This unique book is a good contribution to the field of obstetrics." (Gilad A. Gross, Doody’s Review Service, January, 2009)

From the Publisher

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.

Doody's Review Service