{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T09:37:03Z","timestamp":1778233023833,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,21]],"date-time":"2016-11-21T00:00:00Z","timestamp":1479686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2017,2]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To evaluate whether a standardized approach to identify pregnant women at risk for shoulder dystocia (SD<\/jats:styled-content>) is associated with reduced incidence of SD<\/jats:styled-content> and brachial plexus injury (BPI<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Between 2011 and 2015, prospective data were collected from 29 community\u2010based hospitals in the USA<\/jats:styled-content> during implementation of an evidence\u2010based practice bundle, including an admission risk assessment, required \u201ctimeout\u201d before operative vaginal delivery (OVD<\/jats:styled-content>), and low\u2010fidelity SD<\/jats:styled-content> drills. All women with singleton vertex pregnancies admitted for vaginal delivery were included. Rates of SD<\/jats:styled-content>, BPI<\/jats:styled-content>, OVD<\/jats:styled-content>, and cesarean delivery were compared between a baseline period (January 2011\u2013September 2013) and an intervention period (October 2013\u2013June 2015), during which there was a system\u2010wide average bundle compliance of 90%.<\/jats:p><\/jats:sec>Results<\/jats:title>There was a significant reduction in the incidence of SD<\/jats:styled-content> (17.6%; P<\/jats:italic>=0.028), BPI<\/jats:styled-content> (28.6%; P<\/jats:italic>=0.018), and OVD<\/jats:styled-content> (18.0%; P<\/jats:italic><0.001) after implementation of the evidence\u2010based practice bundle. There was a nonsignificant reduction in primary (P<\/jats:italic>=0.823) and total (P<\/jats:italic>=0.396) cesarean rates, but no association between SD<\/jats:styled-content> drills and incidence of BPI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Implementation of a standard evidence\u2010based practice bundle was found to be associated with a significant reduction in the incidence of SD<\/jats:styled-content> and BPI<\/jats:styled-content>. Utilization of low\u2010fidelity drills was not associated with a reduction in BPI<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12034","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T04:43:47Z","timestamp":1484282627000},"page":"162-167","source":"Crossref","is-referenced-by-count":15,"title":["Decreased rates of shoulder dystocia and brachial plexus injury via an evidence\u2010based practice bundle"],"prefix":"10.1002","volume":"136","author":[{"given":"Laura E.","family":"Sienas","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California Davis Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herman L.","family":"Hedriana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California Davis Sacramento CA USA"},{"name":"Sacramento Maternal\u2010Fetal Medicine Medical Group Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Wiesner","sequence":"additional","affiliation":[{"name":"Patient Safety Dignity Health San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Pelletreau","sequence":"additional","affiliation":[{"name":"Patient Safety Dignity Health San Francisco CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Machelle D.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California Davis Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence E.","family":"Shields","sequence":"additional","affiliation":[{"name":"Patient Safety Dignity Health San Francisco CA USA"},{"name":"Maternal\u2010Fetal Medicine Marian Regional Medical Center Santa Maria CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02513-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050500312730"},{"key":"e_1_2_8_4_1","unstructured":"GhermanR ChauhanS ClarkS et\u00a0al.Neonatal brachial plexus palsy. American College of Physicians and Gynecologists' Task Force on Neonatal Brachial Plexus Palsy.2014.https:\/\/www.acog.org\/-\/media\/Task-Force-and-Work-Group-Reports\/NeonatalBrachialPlexusPalsy.pdf?dmc=1&ts=20161112T1658007437. Accessed November 15 2016."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S096553950500152X"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001147"},{"key":"e_1_2_8_7_1","volume-title":"Births: Final Data for 2013","author":"Martin JA","year":"2015"},{"key":"e_1_2_8_8_1","unstructured":"Maternal Data Center.California Maternal Quality Care Collaborative. Web.https:\/\/www.cmqcc.org\/maternal-data-center. 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