Epidemiology of Obstetrical Brachial Plexus Injury

Lindley Wall; Marie Morris

doi:10.1007/978-3-030-69517-0_43

Epidemiology of Obstetrical Brachial Plexus Injury

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Brachial plexus birth injury (BPBI) remains a source of morbidity and financial burden in the pediatric population. The incidence of BPBI has been estimated between 1.6 and 5.1 per 1000 live births. Risk factors include shoulder dystocia, fetal macrosomia (>4500 g), a previous child with shoulder dystocia or BPBI, maternal diabetes, assisted vaginal delivery, multiparity, prolonged labor, excessive maternal weight gain, and fetal malposition. Prevention of BPBI remains a challenge, as not all infants diagnosed with BPBI had identifiable risk factors. Cesarean delivery and induction of labor have been shown to be protective against BPBI, but their use in prevention should be targeted for patients at the highest risk.

Original language	English
Title of host publication	Operative Brachial Plexus Surgery
Subtitle of host publication	Clinical Evaluation and Management Strategies
Publisher	Springer International Publishing
Pages	481-485
Number of pages	5
ISBN (Electronic)	9783030695170
ISBN (Print)	9783030695163
DOIs	https://doi.org/10.1007/978-3-030-69517-0_43
State	Published - Jan 1 2021

Keywords

Epidemiology
Neonatal brachial plexus injury
Neonatal brachial plexus palsy
Obstetric brachial plexus injury
Obstetric brachial plexus palsy
Prevention
Risk factors

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10.1007/978-3-030-69517-0_43

Cite this

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abstract = "Brachial plexus birth injury (BPBI) remains a source of morbidity and financial burden in the pediatric population. The incidence of BPBI has been estimated between 1.6 and 5.1 per 1000 live births. Risk factors include shoulder dystocia, fetal macrosomia (>4500 g), a previous child with shoulder dystocia or BPBI, maternal diabetes, assisted vaginal delivery, multiparity, prolonged labor, excessive maternal weight gain, and fetal malposition. Prevention of BPBI remains a challenge, as not all infants diagnosed with BPBI had identifiable risk factors. Cesarean delivery and induction of labor have been shown to be protective against BPBI, but their use in prevention should be targeted for patients at the highest risk.",

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KW - Obstetric brachial plexus injury

KW - Obstetric brachial plexus palsy

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Epidemiology of Obstetrical Brachial Plexus Injury

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Keywords

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