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©2013 UpToDate ® Print Email Incidence of shoulder dystocia by birth weight in nondiabetic and diabetic women Birth weight (grams) Nondiabetic women (percent) Diabetic women (percent) Less than 4000 0.1 to 1.1 0.6 to 3.7 4000 to 4449 1.1 to 10.0 4.9 to 23.1 4500 or more 2.7 to 22.6 20.0 to 50.0 Data from: Acker DB, Sachs BP, Friedman EA. Risk factors for shoulder dystocia. Obstet Gynecol 1985; 66:762. Nesbitt TS, Gilbert WM, Herrchen B. Shoulder dystocia and associated risk factors with macrosomic infants born in California. Am J Obstet Gynecol 1998; 179:476. Sandmire HF, O'Halloin TJ. Shoulder dystocia: its incidence and associated risk factors. Int J Gynaecol Obstet 1988; 26:65.