{"id":"https://openalex.org/W1968289201","doi":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","title":"Fatal shoulder dystocia: a review of 56 cases reported to the Confidential Enquiry into Stillbirths and Deaths in Infancy","display_name":"Fatal shoulder dystocia: a review of 56 cases reported to the Confidential Enquiry into Stillbirths and Deaths in Infancy","publication_year":1998,"publication_date":"1998-12-01","ids":{"openalex":"https://openalex.org/W1968289201","doi":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","mag":"1968289201","pmid":"https://pubmed.ncbi.nlm.nih.gov/9883916"},"language":"en","primary_location":{"id":"doi:10.1111/j.1471-0528.1998.tb10003.x","doi":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","pdf_url":null,"source":{"id":"https://openalex.org/S4210173111","display_name":"BJOG An International Journal of Obstetrics & Gynaecology","issn_l":"0306-5456","issn":["0306-5456","1365-215X","1470-0328","1471-0528"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJOG: An International Journal of Obstetrics & Gynaecology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110685425","display_name":"Peter L Hope","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802742124","display_name":"John Radcliffe Hospital","ror":"https://ror.org/0080acb59","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802742124","https://openalex.org/I4210127145","https://openalex.org/I4210147381"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Peter Hope","raw_affiliation_strings":["John Radcliffe Hospital, Headington, Oxford, UK","John Radcliffe Hospital, Oxford"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Radcliffe Hospital, Headington, Oxford, UK","institution_ids":["https://openalex.org/I2802742124"]},{"raw_affiliation_string":"John Radcliffe Hospital, Oxford","institution_ids":["https://openalex.org/I2802742124"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090902620","display_name":"Sue Breslin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802070489","display_name":"Royal Shrewsbury Hospital","ror":"https://ror.org/05nnz2423","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802070489","https://openalex.org/I4210146362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sue Breslin","raw_affiliation_strings":["Royal Shrewsbury Maternity Unit"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Shrewsbury Maternity Unit","institution_ids":["https://openalex.org/I2802070489"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5105431551","display_name":"Linda Lamont","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Linda Lamont","raw_affiliation_strings":["National Advisory Body of CESD1, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Advisory Body of CESD1, London","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Alexandra Lucas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210136304","display_name":"Chelsea and Westminster Hospital","ror":"https://ror.org/038zxea36","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2799869770","https://openalex.org/I4210136304"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alexandra Lucas","raw_affiliation_strings":["Chelsea and Westminster Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Chelsea and Westminster Hospital","institution_ids":["https://openalex.org/I4210136304"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009636059","display_name":"D. H. Martin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802259370","display_name":"Altnagelvin Area Hospital","ror":"https://ror.org/05xxmnm27","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802259370","https://openalex.org/I4210094355"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Denis Martin","raw_affiliation_strings":["Altnagelvin Hospital, Londonderry"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Altnagelvin Hospital, Londonderry","institution_ids":["https://openalex.org/I2802259370"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111852942","display_name":"Isabella E. Moore","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801388914","display_name":"Southampton General Hospital","ror":"https://ror.org/011cztj49","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2801388914","https://openalex.org/I2802965805"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Isabella Moore","raw_affiliation_strings":["Southampton General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Southampton General Hospital","institution_ids":["https://openalex.org/I2801388914"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029413712","display_name":"James F. Pearson","orcid":"https://orcid.org/0000-0001-8555-8561","observed_orcids":["https://orcid.org/0000-0001-8555-8561"]},"institutions":[{"id":"https://openalex.org/I2800861664","display_name":"University Hospital of Wales","ror":"https://ror.org/04fgpet95","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1299209451","https://openalex.org/I2800861664","https://openalex.org/I4210144625"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"James Pearson","raw_affiliation_strings":["University Hospital of Wales"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Hospital of Wales","institution_ids":["https://openalex.org/I2800861664"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Dawn Saunders","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dawn Saunders","raw_affiliation_strings":["CESDI Secretariat, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CESDI Secretariat, London","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084143347","display_name":"Ralph S. Settatree","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ralph Settatree","raw_affiliation_strings":["CESDI Secretariat, London"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"CESDI Secretariat, London","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5110685425"],"corresponding_institution_ids":["https://openalex.org/I2802742124"],"apc_list":{"value":5190,"currency":"USD","value_usd":5190},"apc_paid":null,"fwci":5.6856,"has_fulltext":false,"cited_by_count":118,"citation_normalized_percentile":{"value":0.95570399,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"105","issue":"12","first_page":"1256","last_page":"1261"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.003100000089034438,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/shoulder-dystocia","display_name":"shoulder dystocia","score":0.9200000166893005},{"id":"https://openalex.org/keywords/stillbirth","display_name":"stillbirth","score":0.7059999704360962},{"id":"https://openalex.org/keywords/neonatal-death","display_name":"neonatal death","score":0.9850000143051147},{"id":"https://openalex.org/keywords/maternal-obesity","display_name":"maternal obesity","score":0.8600000143051147},{"id":"https://openalex.org/keywords/macrosomia","display_name":"macrosomia","score":0.9079999923706055},{"id":"https://openalex.org/keywords/fetal-compromise","display_name":"fetal compromise","score":0.6700000166893005},{"id":"https://openalex.org/keywords/prenatal-prediction","display_name":"prenatal prediction","score":0.6790000200271606},{"id":"https://openalex.org/keywords/perinatal-outcomes","display_name":"perinatal outcomes","score":0.5339999794960022}],"concepts":[{"id":"https://openalex.org/C2779470629","wikidata":"https://www.wikidata.org/wiki/Q420240","display_name":"Shoulder dystocia","level":3,"score":0.9051421880722046},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8183941841125488},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5983559489250183},{"id":"https://openalex.org/C2776279924","wikidata":"https://www.wikidata.org/wiki/Q228036","display_name":"Caesarean section","level":3,"score":0.49348700046539307},{"id":"https://openalex.org/C2779811377","wikidata":"https://www.wikidata.org/wiki/Q5445900","display_name":"Fetal head","level":4,"score":0.4501771628856659},{"id":"https://openalex.org/C2777325788","wikidata":"https://www.wikidata.org/wiki/Q16363","display_name":"Shoulders","level":2,"score":0.4318200349807739},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.35394486784935},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.18427643179893494},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1659386157989502},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001344","descriptor_name":"Autopsy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001724","descriptor_name":"Birth Weight","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004420","descriptor_name":"Dystocia","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005313","descriptor_name":"Fetal Death","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008880","descriptor_name":"Midwifery","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009660","descriptor_name":"Northern Ireland","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012782","descriptor_name":"Shoulder","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014852","descriptor_name":"Wales","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D036861","descriptor_name":"Delivery, Obstetric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/j.1471-0528.1998.tb10003.x","doi":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","is_oa":false,"landing_page_url":"https://doi.org/10.1111/j.1471-0528.1998.tb10003.x","pdf_url":null,"source":{"id":"https://openalex.org/S4210173111","display_name":"BJOG An International Journal of Obstetrics & Gynaecology","issn_l":"0306-5456","issn":["0306-5456","1365-215X","1470-0328","1471-0528"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BJOG: An International Journal of Obstetrics & Gynaecology","raw_type":"journal-article"},{"id":"pmid:9883916","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9883916","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British journal of obstetrics and gynaecology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W203591582","https://openalex.org/W610816912","https://openalex.org/W1532555723","https://openalex.org/W1606634351","https://openalex.org/W1977757057","https://openalex.org/W1988605511","https://openalex.org/W2029882140","https://openalex.org/W2056503158","https://openalex.org/W2074500518","https://openalex.org/W2084495860","https://openalex.org/W2086193164","https://openalex.org/W2103886589","https://openalex.org/W2405146269","https://openalex.org/W2617066032","https://openalex.org/W3157059531","https://openalex.org/W4236731465"],"related_works":["https://openalex.org/W2051806286","https://openalex.org/W4236731465","https://openalex.org/W2398880629","https://openalex.org/W2093419263","https://openalex.org/W3197516563","https://openalex.org/W2547687779","https://openalex.org/W2101882238","https://openalex.org/W1973530424","https://openalex.org/W1840404371","https://openalex.org/W4295743136"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"use":[2],"information":[3],"collected":[4],"by":[5,32,109,168,190],"the":[6,23,43,128,131,134,144,146,169,171,184,199],"Confidential":[7,44],"Enquiry":[8,45],"into":[9,46],"Stillbirths":[10,47],"and":[11,19,48,55,60,101,130,183],"Deaths":[12,49],"in":[13,22,50,58,106,117,153,196],"Infancy":[14,51],"to":[15,42,69,81],"help":[16],"obstetric,":[17],"midwifery":[18],"paediatric":[20],"practice":[21],"management":[24],"of":[25,30,84,119,127,133,155,166,178,186,198],"shoulder":[26,70,111,179],"dystocia.":[27,71,112],"DESIGN:":[28],"Review":[29],"casenotes":[31],"a":[33,82,151,205],"multidisciplinary":[34],"focus":[35],"group.":[36],"SAMPLE:":[37],"All":[38],"56":[39],"cases":[40,167],"reported":[41],"from":[52,93],"England,":[53],"Wales":[54],"Northern":[56],"Ireland":[57],"1994":[59],"1995,":[61],"where":[62],"stillbirth":[63],"or":[64,159],"neonatal":[65],"death":[66],"was":[67,115,136,148,150,173],"attributed":[68],"MAIN":[72],"OUTCOME":[73],"MEASURES:":[74],"Case":[75],"notes":[76],"were":[77,88,104,163],"reviewed":[78],"with":[79,90,204],"respect":[80],"range":[83],"perinatal":[85],"variables.":[86],"Comparisons":[87],"made":[89],"normative":[91],"data":[92],"other":[94],"studies":[95],"when":[96],"appropriate.":[97],"RESULTS:":[98],"Maternal":[99],"obesity":[100],"big":[102],"babies":[103],"over-represented":[105],"pregnancies":[107],"complicated":[108],"fatal":[110,206],"Fetal":[113],"compromise":[114],"recorded":[116],"26%":[118],"labours.":[120],"The":[121,140],"median":[122],"time":[123,145,170],"interval":[124],"between":[125],"delivery":[126,197],"head":[129,147],"rest":[132],"body":[135,172],"only":[137],"five":[138],"minutes.":[139],"lead":[141],"professional":[142],"at":[143],"delivered":[149],"midwife":[152],"65%":[154],"cases.":[156],"Middle":[157],"grade":[158],"senior":[160],"obstetric":[161],"staff":[162],"supervising":[164],"47%":[165],"delivered.":[174],"CONCLUSIONS:":[175],"Antenatal":[176],"prediction":[177],"dystocia":[180],"is":[181],"imprecise,":[182],"majority":[185],"deliveries":[187],"are":[188],"attended":[189],"midwives.":[191],"A":[192],"relatively":[193],"brief":[194],"delay":[195],"shoulders":[200],"may":[201],"be":[202],"associated":[203],"outcome.":[207]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":4},{"year":2016,"cited_by_count":9},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":7}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}