Obstetric brachial plexus injury. Knowledge among health care providers in Saudi Arabia

• Published in: Saudi medical journal Vol. 38; no. 7; pp. 721 - 726
• Main Authors: Al-Essa, Rakan S, Al-Khilaiwi, Rakan M, Al-Qahtani, Ali A, Al-Thunayan, Abdullah M, Al-Qattan, Mohammad M
• Format: Journal Article
• Language: English
• Published: Saudi Arabia Saudi Medical Journal 01.07.2017
• Subjects: Adult; Brachial Plexus - injuries; Brachial Plexus Neuropathies - etiology; Brachial Plexus Neuropathies - physiopathology; Cross-Sectional Studies; Delivery, Obstetric - adverse effects; Female; Health Personnel - psychology; Humans; Infant; Infant, Newborn; Knowledge; Male; Original; Pregnancy; Saudi Arabia
• ISSN: 0379-5284; 1658-3175
• DOI: 10.15537/smj.2017.7.17615

To assess the basic knowledge on obstetric brachial plexus injury among obstetricians, pediatricians, and physio-/occupational therapists in major hospitals in Riyadh.  We aimed to identify if inadequate knowledge is the reason behind delayed referrals to the Hand Clinic. Methods: This is a cross-sectional questionnaire-based study  conducted at 5 major hospitals in Riyadh, Saudi Arabia between June 2015 and August 2015.  A questionnaire of 6 questions (multiple choice closed-ended questions) was given to obstetricians, pediatricians, and  physio-/occupational therapists' in these selected hospitals. The total score out of 6 was categorized as good, adequate, and inadequate knowledge if the score is 5-6, 3-4, and less than 3; respectively. The data were analyzed with Chi-square, fisher exact, Analysis of Variance, and Post-hoc tests where appropriate. Results:  A total of 323 subjects participated in the study.  For positions, the best mean score (for all 6 questions) was scored by consultants and the score was only 2.95 out of 6. For hospitals, Hospital IV scored the best mean score (2.99). The mean scores were not significantly different between different specialties. Conclusion: Inadequate knowledge seems to be a reason for delayed referrals of cases of obstetric brachial plexus injury to Hand Clinics in Riyadh, Saudi Arabia.