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Obstetric Brachial Plexus Palsy: A Birth Injury Not Explained By The Known Risk Factors

B. Backe, E. Magnussen, O. Johansen, Gerd Sellaeg, H. Russwurm
Published 2008 · Medicine

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Objective. To determine the incidence and prognosis of obstetric brachial plexus injuries and analyze associated risk factors. Design. Analysis of prospectively collected information comprising all births from 1991 to 2000, with complete follow‐up of affected children. Setting. St Olav's University Hospital, a tertiary care hospital in the middle part of Norway. Population. Thirty thousand five hundred and seventy‐four children; all were examined within 24 hours of birth and 91 were diagnosed with brachial plexus injury. Methods. We reviewed the hospital records and analyzed the data submitted from our hospital to the Medical Birth Register of Norway. Result. Risk factors are shoulder dystocia, macrosomy, diabetes, vacuum extraction and forceps delivery. The predictive power of these variables is poor. Almost half of the plexus injuries followed spontaneous vaginal deliveries with second stage of 30 minutes or less. Two newborns were delivered by cesarean section and two were vaginal breech deliveries. In 15 children (0.5/1,000) a permanent plexus injury has been diagnosed. Compared with transient plexus impairment, risk factors for a permanent injury were high maternal body mass index, shoulder dystocia, fractured humerus and fetal asphyxia. Fracture of the clavicle was significantly more frequent when the injury was transient, possibly reflecting a protective effect. Conclusion. The incidence of obstetric brachial plexus injury is 0.3% and the recovery rate is 84%, resulting in 0.5 permanent injuries per 1,000 births. Plexus injury is not well predicted by known risk factors. Other etiological factors should be sought.
This paper references
Obstetrical brachial plexus injuries
AO Narakas (1987)
1995 96 to 1997 98
NHS Maternity Statistics (2008)
A Comparison of Shoulder Dystocia‐Associated Transient and Permanent Brachial Plexus Palsies
R. Gherman (2003)
Intrapartum risk factors for permanent brachial plexus injury.
S. Poggi (2003)
Treatment of suspected fetal macrosomia: a cost-effectiveness analysis.
Melissa A. Herbst (2005)
Natural history of obstetric brachial plexus palsy: a systematic review
W. Pondaag (2004)
Shoulder dystocia
G. Roberts (1999)
Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic of Ireland
G. Evans-Jones (2003)
Obstetric brachial plexus injury: risk factors related to recovery.
H. Wolf (2000)
Brachial plexus injury: a 23-year experience from a tertiary center.
S. Chauhan (2005)
Perinatally acquired brachial plexus palsy–a persisting challenge
B. Bager (1997)
The Prognostic Value of Concurrent Clavicular Fractures in Newborns with Obstetric Brachial Plexus Palsy
M. Al-Qattan (1994)
The effectiveness and costs of elective cesarean delivery for fetal macrosomia diagnosed by ultrasound.
D. Rouse (1996)
High birthweight and shoulder dystocia: the strongest risk factors for obstetrical brachial plexus palsy in a Swedish population-based study.
M. Mollberg (2005)
High birthweight and shoulder dystocia: the strongest risk factors for obstetrical brachial plexus palsy in a Swedish population‐based study
Mollberg Margareta (2005)
Obstetric brachial plexus palsy: a prospective study on risk factors related to manual assistance during the second stage of labor
M. Mollberg (2007)
Associated factors in 1611 cases of brachial plexus injury.
W. Gilbert (1999)
Shoulder dystocia – malpractice or acceptable risk?
J. Skolbekken (2000)
The Norwegian Institute of Public Health. Births with selected neonatal conditions according to mother's county of residence. Number and proportion per 1000 in 2003
Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic Obstetric brachial plexus injury
G Evans-Jones (2003)
M. Mollberg (2007)

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High prevalence of early language delay exists among toddlers with neonatal brachial plexus palsy.
K. W. Chang (2014)
Traitement du déséquilibre musculaire du plexus brachial
Niria Quintero (2012)
Risk factors for clavicle fracture concurrent with brachial plexus injury
E. Karahanoğlu (2015)
Glycemic Control in Diabetic Pregnancies: Effects on Fetal and Maternal Outcome
L. Suhonen (2009)
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R. Geirsson (2010)
Best Practice & Research Clinical Obstetrics and Gynaecology
V. C. Lee (2010)
Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations
R. Nath (2014)
Obstetriska plexus brachialisskador
Elisabeth Elgmark Andersson (2014)
Aspects of activities and participation of 7-8 year-old children with an obstetric brachial plexus injury.
Els Spaargaren (2011)
A Study on the Risk Factors for Obstetrical Brachial Plexus Palsy
F. Ashrafzadeh (2010)
Shoulder Function and Bone Mineralization in Children with Obstetric Brachial Plexus Injury After Neuromuscular Electrical Stimulation During Weight-Bearing Exercises
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Rehabilitative Interventions to Improve Biomechanical or Functional Outcomes for Children with Obstetric Brachial Plexus Palsy
Loren Massimino (2013)
Three-dimensional humeral morphologic alterations and atrophy associated with obstetrical brachial plexus palsy.
F. Sheehan (2014)
Neonatal brachial plexus palsy: incidence, prevalence, and temporal trends.
S. Chauhan (2014)
Outcome in adolescence of brachial plexus birth palsy
G. Hulleberg (2014)
Paralisia congénita do plexo braquial
Â. Pinho (2010)
Clavicle Fracture Is Not Predictive of the Need for Microsurgery in Brachial Plexus Birth Palsy
Holly B. Leshikar (2018)
Explaining daily functioning in young adults with obstetric brachial plexus lesion
Conny de Heer (2015)
Central Adaptation following Brachial Plexus Injury.
N. Simon (2016)
Severe chronic morbidity following childbirth.
T. Y. Leung (2009)
Therapeutic Use of Botulinum Toxin in Neurorehabilitation
D. Intiso (2012)
Shoulder Dystocia: Incidence and Risk Factors.
J. Ouzounian (2016)
Claims for compensation after alleged birth injury inNorway.A study of obstetric claims to the Norwegian System of Compensation toPatients from 1994-2008
Stine Andreasen (2015)
Evaluation of Birth Trauma Associated with Locomotor System Injury
Mehmet Sabri Balik (2018)
Doğumsal brakiyal pleksus felçli olgularımız: tek merkezin 20 yıllık deneyimi
Gonul Acar (2013)
The Epidemiology of Brachial Plexus Birth Palsy in the United States: Declining Incidence and Evolving Risk Factors
C. Defrancesco (2019)
Association of Fetal Abdominal–Head Circumference Size Difference With Shoulder Dystocia: A Multicenter Study
L. Endres (2015)
Shoulder dystocia: definitions and incidence.
Alexandra Hansen (2014)
Effect of exercise doses on functional recovery in neonatal brachial plexus palsy: A randomized controlled study
N. Sahin (2019)
Tocotraumatismo materno e fetal. Experiência de um hospital universitário nível III Maternal and fetal birth injury: Experience in a tertiary referral university hospital
J. M. Madi (2010)
Factores de riesgo asociados a traumatismo al nacimiento
J. M. Madi (2012)
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