Obstetric Brachial Plexus Palsy – A Retrospective Data Analysis
Background: Obstetric brachial plexus palsy is the condition seen during birth due to any injury to the nerves. There are mainly 3 type’s brachial plexus injuries (BPI), namely Erb’s palsy, Klumpke’s palsy and total plexus palsy. The injury can cause paralysis of upper limb and may lead to deformity. Thus this study aimed at analyzing the prevalence and influences of few physical factors noticed during the clinical practice.
Method: Retrospective data of 28 children with obstetric brachial plexus injury (OBPI) was subjected to statistical analysis. The collected data included age, gender, weight, side of affection, type of delivery and the instrumentation used.
Result: Statistical analysis of the data showed that there was more affection in boys than girls. The frequency of non instrument assisted deliveries was higher in the sample included. There was only one child born through LSCS. Right sided brachial palsy was more in frequency as compared to left sided and bilateral plexus injury. Erb’s palsy was most commonly reported than Klumpke’s palsy and total plexus palsy. The mean weight of boys was relatively higher than the girls.
Conclusion: The study concluded that gender and birth weight of the new born along with mode of delivery and instrument assisted deliveries influenced the occurrence of OBPI.
- Doumouchtsis SK, Arulkumaran S. Is it possible to reduce obstetrical brachial plexus palsy by optimal management of shoulder dystocia?. Annals of the New York Academy of Sciences. 2010 Sep 1;1205(1):135-43.
- Parvizi J. High yield orthopaedics. Philadelphia: Saunders/Elsevier; 2010.
- Hudić I, Fatušić Z, Sinanović O, Skokić F, Nevačinović E, Ahmetović B. Etiological risk factors for brachial plexus palsy. Gynaecologia et perinatologia: journal for gynaecology, perinatology, reproductive medicine and ultrasonic diagnostics. 2006 Jun 1;15(2):64-70.
- Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin of the world health organization. 1987;65(5):663.
- Krishnan KD, Avabratha KS, D’Souza AJ. Estimation of average birth weight in term newborns: a hospital-based study in coastal Karnataka. International Journal of Contemporary Pediatrics. 2014 Oct;1(3):156.
- Backe B, Magnussen EB, Johansen OJ, Sellaeg G, Russwurm H. Obstetric brachial plexus palsy: a birth injury not explained by the known risk factors. Acta obstetricia et gynecologica Scandinavica. 2008 Oct 1;87(10):1027-32.
- Nath RK, Kumar N, Avila MB, Nath DK, Melcher SE, Eichhorn MG, Somasundaram C. Risk factors at birth for permanent obstetric brachial plexus injury and associated osseous deformities. ISRN pediatrics. 2012 Feb 1;2012.
- Pondaag W, Malessy MJ, Van Dijk JG, Thomeer RT. Natural history of obstetric brachial plexus palsy: a systematic review. Developmental medicine and child neurology. 2004 Feb;46(2):138-44.
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