[Neonatal complications related to shoulder dystocia]. / Complications néonatales de la dystocie des épaules: facteurs de risque et prise en charge.

ABSTRACT

OBJECTIVE: To describe neonatal complications related to shoulder dystocia. METHODS: This systematic evidence review is based on PubMed search, Cochrane library and experts' recommendations. RESULTS: The risks of brachial plexus birth injury, clavicle and humeral fracture, perinatal asphyxia, hypoxic-ischemic encephalopathy and perinatal mortality are increased after shoulder dystocia. The medical team should be able to provide neonatal resuscitation in the delivery room in case of perinatal asphyxia following shoulder dystocia, according to national and international guidelines. The initial clinical examination should search for complications such as brachial plexus birth injury or clavicle fracture. CONCLUSION: The risk of perinatal complications is increased in newborn after shoulder dystocia. The medical team should be able to manage these complications.