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Subscribe Register Login. Your Name: optional. Your Email:. Colleague's Email:. Separate multiple e-mails with a ;. Send a copy to your email. Some error has occurred while processing your request. For the health profession, see Midwifery. Main article: Intercurrent disease in pregnancy.

Main articles: Induction birth and Childbirth. Further information: Pain management during childbirth. Main article: Complications of pregnancy. Further information: Postpartum period. Main article: Veterinary obstetrics.


  • Shoulder dystocia: Clarifying the care of an old problem | MDedge ObGyn;
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  • See also: Women's medicine in antiquity. Alorainy; Fahad B.

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    Albadr; Abdullah H. Abujamea Ann Saudi Med. Platelets in haematologic and cardiovascular disorders: a clinical handbook. History of Childbirth. Companion Encyclopedia of the History of Medicine. London and New York: Routledge, — Encyclopedia of Medical History. Lewiston: Edwin Mellen Press, McGill Journal of Medicine.


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      Williams Manual of Obstetrics

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      Categories : Obstetrics Human pregnancy Women's health. Namespaces Article Talk. Views Read Edit View history. In other projects Wikimedia Commons. By using this site, you agree to the Terms of Use and Privacy Policy. They utilized data on birth forces gathered by CaldeyroBarcia and Poseiro 3 in their classic work on intrauterine pressure. Gonik and colleagues also used data from Allen and associates, 4 who measured the force of clinician-applied traction after delivery of the head by having clinicians wear sensory gloves that recorded the force of traction applied.

      Gonik and associates 2 concluded that the pressure resulting from endogenous forces is four to nine times greater than the pressure generated by a clinician. How an understanding of endogenous forces alters management.

      Williams Obstetrics, 25th Edition

      Newer data, such as the study by Gonik and colleagues, 2 may implicate expulsive force ie, maternal pushing as another, perhaps greater, cause. Their findings suggest that, when shoulder dystocia occurs and additional maneuvers are necessary to deliver the impacted anterior shoulder, the contribution of potentially harmful endogenous forces should be kept in mind.

      Counterintuitive strategies, including having the mother stop pushing until the anterior shoulder is freed, may help limit injury. When shoulder dystocia occurs, the progress of labor is interrupted and brachial plexus injury can result, a common cause of litigation. How confusion crept into the literature. However, a look at the 19th edition of the textbook 7 reveals identical wording, and the reference cited is ACOG Technical Bulletin No. A subsequent version of the same bulletin no. This document did not recommend maternal expulsive force after a diagnosis of shoulder dystocia—in fact, maternal force was not even mentioned.