[Prevention of shoulder dystocia by an ultrasound selection at the beginning of labour of foetuses with large abdominal circumference]

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Maticot-Baptista, D. | Collin, A. | Martin, A. | Maillet, R. | Riethmuller, D.

Edité par CCSD ; Elsevier Masson -

International audience. OBJECTIVE: Prevent shoulder dystocia occuring with macrosomic foetuses, by an ultrasound screening, at the beginning of labour, made by a member of obstetrics staff. MATERIAL AND METHOD: A prospective study in the maternity hospital, la Mère et l'Enfant of University Teaching Hospital, Besançon, about 170 patients. We have measured only one parameter: the foetal abdominal circumference (AC). RESULTS: An AC>or=350 mm had a sensitivity of 100% to detect newborns of birth weight>or=4250 g. CONCLUSION: An AC>or=350 mm measured during labour by a member of obstetrics staff allow to alert and to make the staff sensitive to a risk of macrosomia and shoulder dystocia.

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