%0 Journal Article
%T Predictors of maternal and neonatal outcomes in labors complicated by shoulder dystocia: a comparative analysis.
%A Tairy D
%A Frank S
%A Lev S
%A Paz YG
%A Bar J
%A Barda G
%A Weiner E
%A Levy M
%J Arch Gynecol Obstet
%V 0
%N 0
%D 2024 Aug 6
%M 39103622
%F 2.493
%R 10.1007/s00404-024-07663-3
%X <B>BACKGROUND: </B>Studies investigating the risk factors associated with unfavorable maternal/neonatal outcomes in cases of shoulder dystocia are scarce. This study aims to uncover the predictive factors that give rise to unfavorable outcomes within the context of shoulder dystocia.<BR><B>METHODS: </B>Medical records of pregnancies complicated by shoulder dystocia was obtained between 2008-2022 from a single tertiary center. This study involved the comparison of sociodemographic, sonographic, and delivery characteristics among pregnancies complicated by shoulder dystocia resulting in favorable vs. unfavorable maternal/neonatal outcomes.<BR><B>RESULTS: </B>A total of 275 pregnancies were analyzed, with 111 (40.3%) classified as unfavorable outcomes and 164 (59.7%) as favorable outcomes. Employing a multivariable regression analysis, several independent associations were identified with unfavorable maternal/neonatal outcomes. Specifically, short maternal stature, pre-gestational diabetes, vacuum extraction, Wood's screw maneuver, and macrosomia merged as significant predictors of unfavorable maternal/neonatal outcomes.<BR><B>CONCLUSIONS: </B>Short maternal stature, pre-gestational diabetes, vacuum extraction, Wood's screw maneuver, and macrosomia may all contribute to poor maternal/neonatal outcomes in shoulder dystocia cases. This knowledge allows clinicians to improve their decision-making, patient care, and counseling.