Outcomes associated with introduction of a shoulder dystocia protocol

被引：69

作者：

Grobman, William A. ^{[1
]}

Miller, Deborah ^{[2
]}

Burke, Carol ^{[2
]}

Hornbogen, Abby ^{[2
]}

Tam, Karen ^{[1
]}

Costello, Robert ^{[2
]}

机构：

[1] NW Med Sch, Feinberg Sch Med, Dept Obstet & Gynecol, Chicago, IL USA

[2] NW Mem Hosp, Chicago, IL 60611 USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2011年 / 205卷 / 06期

关键词：

protocol; shoulder dystocia; ELECTIVE CESAREAN DELIVERY; FETAL MACROSOMIA; SIMULATION; MANAGEMENT;

D O I：

10.1016/j.ajog.2011.05.002

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The objective of this study was to assess outcomes that are associated with the implementation of a shoulder dystocia protocol that is focused on team response. We identified women who had a shoulder dystocia during 3 time periods: 6 months before (period A), 6 months during (period B), and 6 months after (period C) the institution of a shoulder dystocia protocol. Documentation and health outcomes were compared among the time periods. During the study period, 254 women (77, 100, and 77 in periods A, B, and C, respectively) had a shoulder dystocia. There were no differences among study periods in patient characteristics. However, complete and consistent documentation increased (14% to 50% to 92%; P < .001), and brachial plexus palsy that was diagnosed at delivery (10.1% to 4.0% to 2.6%; P = .03) and at neonatal discharge (7.6% to 3.0% to 1.3%; P = .04) declined.

引用

页码：513 / 517

页数：5

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