[Neonatal complications related to shoulder dystocia]

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.