Document Detail

Erb's palsy after delivery by Cesarean section. (A medico-legal key to a vexing problem.).
MedLine Citation:
PMID:  16440860     Owner:  NLM     Status:  MEDLINE    
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.
Leslie Iffy; Pamela Pantages
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicine and law     Volume:  24     ISSN:  0723-1393     ISO Abbreviation:  Med Law     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-30     Completed Date:  2006-03-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8218185     Medline TA:  Med Law     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  655-61     Citation Subset:  IM    
Department of Obstetrics & Gynecology, UMDNJ, New Jersey Medical School, Newark, New Jersey, USA.
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MeSH Terms
Brachial Plexus Neuropathies / etiology*
Cesarean Section / adverse effects*,  legislation & jurisprudence*
Infant, Newborn
United States

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