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[The incidence and prognosis of obstetric paralysis of the upper extremity]
Insights
Birth paralysis of the arm affects 1.5 per 1000 newborns. Conservative treatment yielded functional and cosmetic aftereffects in 27.5% of cases, highlighting the need for effective interventions for brachial plexus injuries.
Area of Science:
- Pediatrics
- Neurology
- Obstetrics
Context:
- Study conducted in Yaroslavl from 1984-1987.
- 122 newborns diagnosed with birth paralysis of the arm.
- Incidence rate of 1.5 per 1000 live births.
Purpose:
- To characterize pregnancies, deliveries, and newborns with birth paralysis of the arm.
- To identify risk factors associated with these paralyses.
- To evaluate the late results of conservative treatment.
Summary:
- A cohort of 122 infants with birth paralysis of the arm was analyzed.
- Risk factors were identified, and pregnancies, deliveries, and newborns were characterized.
- Conservative treatment outcomes were assessed in 80 cases, revealing persistent functional and cosmetic deficits in 27.5%.
Impact:
- Highlights the incidence and characteristics of birth paralysis of the arm.
- Identifies risk factors contributing to this condition.
- Demonstrates the long-term sequelae of conservative management, emphasizing the need for improved therapeutic strategies.
Abstract:
A total of 122 babies with birth paralysis of the arm were treated at the department for diseases of the newborns in 1984-1987 in the town of Yaroslavl. The incidence of this suffering has made up 1.5 per 1000 of babies born alive. Characterization of the pregnancies, deliveries, and the newborns is presented. Risk factors in respect of such paralyses are distinguished. Late results of conservative treatment were followed up in 80 cases. Functional and cosmetic aftereffects of birth paralyses were seen in 27.5% of cases.