title: [Neonatal complications related to shoulder dystocia].
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.
  
  
  CONCLUSIONS
  The risk of perinatal complications is increased in newborn after shoulder dystocia. The medical team should be able to manage these complications.
authors.affiliation: Réanimation néonatale, hôpital Clocheville, CHU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France. Electronic address: e.lopez@chu-tours.fr.
authors.forename: E
authors.initials: E
authors.lastname: Lopez
authors.affiliation: Chirurgie orthopédique pédiatrique, hôpital Clocheville, CHU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France.
authors.forename: B
authors.initials: B
authors.lastname: de Courtivron
authors.affiliation: Réanimation néonatale, hôpital Clocheville, CHU de Tours, 49, boulevard Béranger, 37044 Tours cedex 9, France.
authors.forename: E
authors.initials: E
authors.lastname: Saliba
mesh_terms: D001720:Birth Injuries / Q000453:epidemiology* / Q000209:etiology; D020516:Brachial Plexus Neuropathies / Q000453:epidemiology / Q000209:etiology; D036861:Delivery, Obstetric / Q000009:adverse effects* / Q000706:statistics & numerical data; D004420:Dystocia / Q000453:epidemiology*; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000453:epidemiology / Q000209:etiology; D007231:Infant, Newborn; D011247:Pregnancy; D012782:Shoulder
keywords: Brachial plexus birth injury; Clavicle and humeral fracture; Dystocie des épaules; Encéphalopathie anoxo-ischémique; Fracture de la clavicule; Hypoxic-ischemic encephalopathy; Lésion du plexus brachial; Shoulder dystocia