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Irish Wedding News

24/04/2015

Link Between Early Induction And Shoulder Dystocia - Study

A new study has found that inducing labour at 37-38 weeks for women with oversized babies, could prevent the risk of shoulder dystocia.

Shoulder dystocia is a case of obstructed labour where after the baby's head is delivered, the anterior shoulder of the child cannot pass below, or where the infant requires manipulation to be able to be delivered. It is diagnosed when the shoulders fail to deliver shortly after the baby's head.

Those behind the study looked at sonograms of more than 800 women at 19 university hospitals in Belgium, France and Switzerland whose babies were in the 95 percentile for weight based on their gestational age.

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Around half of the women in the study were randomly selected for induction; the rest were closely monitored until they went into labour naturally – or when an induction was necessary for other reasons.

Of the 409 women assigned to the induction group, labour was induced. A further 116 of the 413 women had labour induced in the monitoring group. The study found shoulder dystocia occurred in 2% of infants in the group assigned to labour induction, compared to 6% of the group assigned to monitoring, while one case of shoulder dystocia was prevented for every 25 labour inductions, they added.

There was no difference to be found between the two groups when it came to caesarean section rates.

The full study can be found on The Lancet website.

(JP/MH)

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"A new study has found that inducing labour at 37-38 weeks for women with oversized babies, could prevent the risk of shoulder dystocia."