Document Detail


Temporary Erb-Duchenne palsy without shoulder dystocia or traction to the fetal head.
MedLine Citation:
PMID:  15863585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although many retrospective studies report that brachial plexus palsies occur after vaginal delivery in the absence of recorded shoulder dystocia, there are no known prospective reports by a treating clinician (PubMed, English language only, 1952-June 2004, search terms: shoulder dystocia, nonshoulder dystocia, obstetric brachial plexus injury, Erb's palsy, Erb-Duchenne palsy, spontaneous vaginal delivery). CASE: A multiparous patient presented with a birth plan requesting that the baby be allowed to deliver on its own, without traction on the head and without suctioning. Although induced at term for elevated blood pressure, the otherwise healthy patient experienced a normal labor with a 30-minute second stage. At delivery, which was videotaped by the father, the fetal head presented over an intact perineum in a right-occiput-anterior position. Without traction, the anterior shoulder delivered spontaneously with the next contraction and Valsalva, followed by the posterior shoulder. The trunk followed routinely. The average-weight for gestational age neonate exhibited an Erb-Duchenne palsy of the right (posterior) arm that resolved on the fourth day of life. CONCLUSION: Temporary Erb-Duchenne palsy can occur in the posterior arm after normal labor and spontaneous delivery without shoulder dystocia or traction on the fetal head.
Authors:
Robert H Allen; Edith D Gurewitsch
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  105     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-02     Completed Date:  2005-06-30     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1210-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Biomedical Engineering and Gynecology and Obstetrics, Johns Hopkins University, Baltimore, Maryland 21218, USA. rallen@bme.jhu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Brachial Plexus Neuropathies / diagnosis*,  physiopathology
Delivery, Obstetric / methods*
Dystocia
Extraction, Obstetrical
Female
Follow-Up Studies
Humans
Infant, Newborn
Paralysis, Obstetric / diagnosis*,  physiopathology
Pregnancy
Pregnancy Trimester, Third
Remission, Spontaneous
Risk Assessment
Severity of Illness Index
Time Factors
Comments/Corrections
Comment In:
Obstet Gynecol. 2005 Nov;106(5 Pt 1):1109; author reply 1110   [PMID:  16260539 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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