| Obstetric brachial plexus injury in subsequent deliveries. | |
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MedLine Citation:
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PMID: 8937610 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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It is well known that multiparas who had previously been delivered of newborns with obstetric brachial plexus palsy are at risk of having the same complication in subsequent deliveries. However, none of the studies in the literature have actually attempted to estimate how high is that risk. The aims of the current paper were to investigate obstetric brachial plexus injury in subsequent deliveries and to study other factors associated with birth palsy, perinatal morbidity, mortality, and motor recovery of the brachial plexus. We reviewed retrospectively the records of 28 consecutive multiparas who presented with their children to our brachial plexus clinic from 1994 to 1995. Eight of the 28 multiparas gave birth to one or more children after having a newborn with brachial plexus birth palsy. These 8 mothers were delivered of a total of 16 newborns with brachial plexus injury. Injury was associated with vaginal mode of delivery, gestational diabetes, instrumental deliveries, and fetal macrosomia. One neonatal death and significant perinatal morbidity were observed in the affected newborns. Seven newborns (44%) had total birth palsy and the remaining 9 had Erb's palsy. Excellent recovery of the limb occurred in only one-third of the patients. It was concluded that multiparas who had previously been delivered of large infants with brachial plexus injury are at high risk of having the same complication in subsequent deliveries and consideration may be given to delivery of subsequent macrosomic babies by cesarean section. |
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Authors:
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M M al-Qattan; T M al-Kharfy |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of plastic surgery Volume: 37 ISSN: 0148-7043 ISO Abbreviation: Ann Plast Surg Publication Date: 1996 Nov |
Date Detail:
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Created Date: 1997-02-28 Completed Date: 1997-02-28 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7805336 Medline TA: Ann Plast Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 545-8 Citation Subset: IM |
Affiliation:
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Department of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Birth Injuries* Brachial Plexus / injuries* Cesarean Section Female Humans Obstetric Labor Complications* Pregnancy Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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