Frequency and Causes
Shoulder presentations are uncommon (about 0.5% of births) as usually towards the end of gestation either the head or the buttocks start to enter the upper part of the pelvis anchoring the fetus in a longitudinal lie. It is not known in all cases of shoulder presentation why the longitudinal lie is not reached, but possible causes include bony abnormalities of the pelvis, uterine abnormalities such as malformations or tumors (fibroids), and other tumors in the pelvis or abdomen can also lead to a shoulder presentation. Other factors are a lax abdominal musculature, uterine overdistension (i.e. polyhydramnios), multiple gestation, placenta previa, a small fetus, or a fetus with some abnormality. Further, if the amniotic fluid sac ruptures the shoulder or arm may become wedged as a shoulder presentation.
Read more about this topic: Shoulder Presentation
Famous quotes containing the word frequency:
“One is apt to be discouraged by the frequency with which Mr. Hardy has persuaded himself that a macabre subject is a poem in itself; that, if there be enough of death and the tomb in one’s theme, it needs no translation into art, the bold statement of it being sufficient.”
—Rebecca West (1892–1983)