Comparison in obstetric management on infants with transient and persistent obstetric brachial plexus palsy.
Journal article, 2008
The outcome of obstetric brachial plexus palsy depends on the severity of the lesion of the nerve fibers. The aim of the prospective study is to evaluate if differences in force used in downward traction on the fetal head correlate to the number of nerve roots affected. At final neurological examination at 18 months of age, complete neurological recovery occurred in 80 of 98 children (82%). Downward traction of the fetal head was applied more often and with greater force in the group with persistent damage. There was a significant correlation between the force used to the number of nerve roots affected. The risk of persistent obstetric brachial plexus palsy at age 18 months depended on obstetric management and increased significantly with increasing force used in downward traction of the fetal head.
Prospective Studies
Pregnancy
adverse effects
Humans
Infant
Obstetric
Female
Paralysis
Community Health Planning
Infant
Retrospective Studies
Obstetric
Case-Control Studies
etiology
Brachial Plexus Neuropathies
Brachial Plexus
Time Factors
Birth Weight
etiology
Newborn
injuries
Delivery
Age Factors
Male
Author
Margareta Mollberg
University of Gothenburg
Anna-Lena Lagerkvist
University of Gothenburg
Urban Johansson
Börje Bager
Annika Johansson
Henrik Hagberg
University of Gothenburg
Journal of child neurology
1708-8283 (ISSN)
Vol. 23 12 1424-32Subject Categories
Dermatology and Venereal Diseases
Other Social Sciences not elsewhere specified
DOI
10.1177/0883073808320620
PubMed
19073848