Epidemiology of Obstetrical Brachial Plexus Injury

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


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 languageEnglish
Title of host publicationOperative Brachial Plexus Surgery
Subtitle of host publicationClinical Evaluation and Management Strategies
PublisherSpringer International Publishing
Number of pages5
ISBN (Electronic)9783030695170
ISBN (Print)9783030695163
StatePublished - Jan 1 2021


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


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