Shoulder Dystocia and Birth Injury

by O'Leary, James A., M.D.; Spellacy, William N., M.D.

• ISBN13: 9781934115282
• ISBN10: 1934115282
• Edition: 3rd
• Format: Hardcover
• Copyright: 2008-11-30
• Publisher: Humana Pr Inc

Summary

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, 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 Dystocia 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.

Table of Contents

Foreword	p. vii
Preface	p. ix
Introduction	p. xv
Prevention
Preconceptual Risk Factors	p. 3
Antepartum Risk Factors	p. 15
Role of Ultrasound in Shoulder Dystocia	p. 33
Intrapartum Risk Factors	p. 49
Pelvimetry	p. 59
Treatment
Recognition of Disproportion	p. 71
Delivery Techniques	p. 89
The McRoberts Maneuver	p. 107
Cephalic Replacement: The Gunn-Zavanelli-O'Leary Maneuver	p. 119
Infant Injury	p. 129
Clinical Considerations
In Utero Causation of Brachial Plexus Injury: Myth or Mystery?	p. 147
Recurrent Shoulder Dystocia	p. 163
Predisposing Factors for Shoulder Dystocia-Related Birth Injuries: Causation Analysis	p. 169
Recognition, Classification, and Management of Shoulder Dystocia: The Relationship to Causation of Brachial Plexus Injury	p. 179
Minimizing the Risks of Shoulder Dystocia-Related Fetal Injuries	p. 209
The Maternal Fetal Medicine Viewpoint: Causation and Litigation	p. 227
Brachial Plexus injury at Cesarean Section	p. 249
Delivery of the Nondiabetic Macrosomic Infant	p. 257
The Midwifery View of Shoulder Dystocia	p. 269
Recent Research: Relevant and Reliable	p. 285
Observations on the Etiology of Brachial Plexus Birth Palsy Based on Radiographic, Intraoperative, and Histologic Findings	p. 289
Index	p. 295
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