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.
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.
Authors: Kaouther Dimassi; Meryam Ajroudi; Olfa Saidi; Safa Salem; Monia Robbana; Amel Triki; Mohammed Faouzi Gara Journal: Pan Afr Med J Date: 2016-09-30