Comparison in obstetric management on infants with transient and persistent obstetric brachial plexus palsy

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 examina...

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Bibliographic Details
Published inJournal of child neurology Vol. 23; no. 12; p. 1424
Main Authors Mollberg, Margareta, Lagerkvist, Anna-Lena, Johansson, Urban, Bager, Börje, Johansson, Annika, Hagberg, Henrik
Format Journal Article
LanguageEnglish
Published United States 01.12.2008
Subjects
Age Factors
Birth Weight
Brachial Plexus - injuries
Brachial Plexus Neuropathies - etiology
Case-Control Studies
Community Health Planning
Delivery, Obstetric - adverse effects
Female
Humans
Infant
Infant, Newborn
Male
Paralysis, Obstetric - etiology
Pregnancy
Prospective Studies
Retrospective Studies
Time Factors
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Summary: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.
ISSN:1708-8283
DOI:10.1177/0883073808320620