Catastrophic shoulder dystocia and emergency symphysiotomy

T. M. Goodwin, E. Banks, L. K. Millar, J. P. Phelan

Research output: Contribution to journalArticlepeer-review

48 Scopus citations


We present three cases of shoulder dystocia unrelieved by standard maneuvers, including cephalic replacement. Symphysiotomy was performed in an effort to preserve fetal life. All three infants sustained severe neurologic injury and later died. Maternal morbidity including urinary incontinence was significant but responded to treatment. Symphysiotomy may be the only me[nod of relieving some cases of shoulder dystocia, but its role remains unclear because of operator inexperience and maternal morbidity.

Original languageEnglish (US)
Pages (from-to)463-464
Number of pages2
JournalAmerican Journal of Obstetrics and Gynecology
Issue number2
StatePublished - Jan 1 1997
Externally publishedYes


  • Fetal macrosomia
  • Shoulder dystocia
  • Symphysiotomy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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