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Am J Perinatol 2010; 27(2): 129-136
DOI: 10.1055/s-0029-1224864
© Thieme Medical Publishers

Shoulder Dystocia: Comparison of the ACOG Practice Bulletin with Another National Guideline

Suneet P. Chauhan1 , Robert Gherman3 , Nancy W. Hendrix4 , Jemel M. Bingham1 , Edward Hayes2
  • 1Maternal Fetal Medicine, Aurora Health Care, Milwaukee, Wisconsin
  • 2Ob/Gyn Aurora Bay Care, Green Bay, Wisconsin
  • 3Security BN al-Asad Airbase Group Surgeon MWSG-37 (FWD), Iraq
  • 4Thomas Jefferson Medical University, Philadelphia, Pennsylvania
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Publication History

Publication Date:
29 June 2009 (online)

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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

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Suneet P ChauhanM.D. 

Aurora Health Care, 8901 W. Lincoln Avenue

PAC, West Allis, WI 53227

Email: suneet.chauhan@aurora.org

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