Özet:

In this study, we aimed at assessing the existing risk factors, rescue maneuveres and perinatal results of cases of shoulder distosis developing in our female birth clinic between 2012-2018. Tools and Methods: The study was carried out in the Kocaeli Deep Education and Research Hospital and in the Adana Special Hospital's Women's Birth Clinic with a retrospective scan of the developing phenomena of shoulder distosis during childbirth. In vaginal births, 24513 cases of single-born shoulder distosis were compared with 133 cases of computer randomization and 128 healthy cases selected. Patients registered maternal demographic characteristics, intrapartum characteristics and neonatal results were analyzed in a computer database. Statistical analysis for Windows SPSS 23 (Version 23.0. IBM Corp. is based on the statistical program. Results: In both groups there was no difference in the demographic characteristics of the mother. The presence of maconium, the rate of gestational diabetes mellitus, the weight of the baby, shoulder distosis were found high in the developing group. In the developing group of shoulder distosis, the fetal abdominal environment was measured greater. A baby with a distosed shoulder has a breakthrough in both humerus and clavicula. Apgar scores and umbilical cord pH values were significantly lower in the shoulder distosed newborn group. In 35,4 per cent of 133 new nature developing shoulder distosis, a fractures in the clavicule developed during the rear shoulder extraction. Two babies have developed a permanent brakial plexus. Result: Improving birth skills and continuous theoretical and practical training and documentation in the maneuveres applied in shoulder distosis will be beneficial in reducing morbidity and mortality associated with shoulder distosis. In this study, the current risk factors, maneuvers and perinatal outcomes of cases with shoulder dystosis in our clinic between 2012-2018 were reviewed. Material and Methods: This study was performed in a retrospective screening of women who developed shoulder dystosis during delivery at the Obstetrics and Gynecology Clinic at Kocaeli Derince Education and Research Hospital and Private Hospital in Adana. 24513 singular deliveries of vaginal birth and 128 healthy cases selected randomly, a total of 133 of them documented shoulder dystosis (SD). Maternal demographics, intrapartum characteristics and neonatal outcomes of the patients were analyzed. Statistical analyzes were performed with SPSS 23 for Windows (Version 23.0. by IBM Corp. Results: Both examined groups, there were no differences about the comparised tasks above. The presence of meconium, the rate of gestational diabetes mellitus, higher weight baby developing much more SD. Women with large fetal abdominal circumference have more risks. A baby with a SD has a humerus, clavicle fracture. Apgar scores and umbilical cord pH values were significantly lower with SD. 35 is. 4 % of 133 newborns developed SD and clavicle fracture during posterior shoulder removal. And in two babies, sequential persistent brachial plexus sequel were seen. Conclusion: Improved skills of delivery and follow-up with continuous both theoretical and practical education about maneuvers for SD and documentation will probably be crucial to decrease morbidity and mortality caused by SD. Keywords: Obstetric Labor Complications; Shoulder Dystocia; Risk Factors; Perinatal Outcomes

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