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Obstetrics & Gynecology 1996;87:818-819
© 1996 by The American College of Obstetricians and Gynecologists
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Articles

Uterine rupture as a cause of shoulder dystocia

DL Zisow

BACKGROUND: Shoulder dystocia and uterine rupture are complications that rarely are related. CASE: A 34-year-old white woman, gravida 4, para 2, therapeutic abortion 1, was admitted for labor induction. Fetal heart rate monitoring was normal until full dilation, when bradycardia developed and persisted. With the use of forceps, the vertex was delivered. Head retraction signaled the possibility of shoulder dystocia. Attempts at vaginal delivery failed, necessitating abdominal delivery. The fetal body was found anterior to the already contracted, anterolaterally ruptured uterus. An abdominally assisted vaginal delivery was accomplished. CONCLUSION: Uterine rupture may be an unsuspected cause of shoulder dystocia.


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 Obstet GynecolHome page
E. C. Sandberg
THE ZAVANELLI MANEUVER: 12 YEARS OF RECORDED EXPERIENCE
Obstet. Gynecol., February 1, 1999; 93(2): 312 - 317.
[Abstract] [Full Text] [PDF]


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