| Erb's palsy after delivery by Cesarean section. (A medico-legal key to a vexing problem.). | |
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MedLine Citation:
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PMID: 16440860 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite impressive progress in perinatology, fetal injuries from arrest of the shoulders at birth have not decreased in recent decades. Based upon sporadic reports of Erb's palsy in neonates born by Cesarean section, some obstetricians embraced the theory recently that brachial plexus lesions often derive from spontaneous forces acting in utero. Having reviewed three hundred malpractice claims involving fetal injuries attributed to shoulder dystocia at birth, the authors found only two cases connected with abdominal deliveries. One followed manual replacement of the already delivered fetal head into the pelvis after sequential vacuum and forceps procedures and failed manual extraction of the body. The other was an elective repeat Cesarean section where extensive adhesions limited the available space for the lower segment transverse uterine incision. Coincidental fracture of the clavicle and absence of contractures or deformities indicated that the brachial plexus injury was acute, having resulted from forceful traction at delivery. |
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Authors:
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Leslie Iffy; Pamela Pantages |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Medicine and law Volume: 24 ISSN: 0723-1393 ISO Abbreviation: Med Law Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2006-01-30 Completed Date: 2006-03-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8218185 Medline TA: Med Law Country: South Africa |
Other Details:
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Languages: eng Pagination: 655-61 Citation Subset: IM |
Affiliation:
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Department of Obstetrics & Gynecology, UMDNJ, New Jersey Medical School, Newark, New Jersey, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brachial Plexus Neuropathies / etiology* Cesarean Section / adverse effects*, legislation & jurisprudence* Child Female Humans Infant, Newborn Malpractice Pregnancy United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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