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Correlating birthweight with neurological severity of obstetric brachial plexus lesions.
MedLine Citation:
PMID:  21481148     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Please cite this paper as: Pondaag W, Allen R, Malessy M. Correlating birthweight with neurological severity of obstetric brachial plexus lesions. BJOG 2011; DOI: 10.1111/j.1471-0528.2011.02942.x. Objective  To investigate the nature and extent of neurosurgically treated obstetric plexus lesions with obstetric and neonatal precedents. Design  Retrospective analysis of prospectively collected data. Setting  Leiden, the Netherlands. Population  A 9-year cohort of infants (n = 206) neurosurgically treated for obstetric brachial plexus lesion at a tertiary referral centre for nerve lesions. Method  Obstetric and neonatal data (parity, diabetic status, pregnancy gestation, mode of cephalic delivery and birthweight) were collected using a standardised protocol and correlated to neurological severity of the brachial plexus lesion. Main outcome measure  Neurological severity of the brachial plexus lesion. Results  Nulliparous women delivered significantly lower birthweight newborns (P = 0.016), injuries in those infants were associated with the least severe injury classification. The most prominent association in ordinal logistic regression was between neurological injury severity and larger birthweight (P < 0.001). Conclusions  Birthweight is correlated with neurological severity of the injury in a group of infants experiencing brachial plexus injury resulting from cephalic vaginal delivery.
Authors:
W Pondaag; Rh Allen; Mja Malessy
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-11
Journal Detail:
Title:  BJOG : an international journal of obstetrics and gynaecology     Volume:  -     ISSN:  1471-0528     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100935741     Medline TA:  BJOG     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.
Affiliation:
Department of Neurosurgery, Leiden University Medical Centre, Leiden, the Netherlands Departments of Biomedical Engineering and Gynecology and Obstetrics, Johns Hopkins University, Baltimore, MD, USA.
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