Obstetric brachial plexus injury. Knowledge among health care providers in Saudi Arabia

Rakan S Al-Essa1, Rakan M Al-Khilaiwi, Ali A Al-Qahtani

  • 1Division of Plastic Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail. alessa015@ksau-hs.edu.sa.

Insights

Healthcare professionals in Riyadh demonstrate inadequate knowledge regarding obstetric brachial plexus injury. This knowledge gap appears to contribute to delayed referrals to specialized Hand Clinics for affected infants.

Area of Science:

  • Obstetrics and Gynecology
  • Pediatrics
  • Physical Therapy
  • Occupational Therapy
  • Neurology

Background:

  • Obstetric brachial plexus injury (OBPI) is a significant concern affecting newborns.
  • Timely diagnosis and referral are crucial for optimal management of OBPI.
  • Understanding healthcare professionals' knowledge is key to improving referral pathways.

Purpose of the Study:

  • To evaluate the baseline knowledge of OBPI among obstetricians, pediatricians, and therapists in Riyadh.
  • To determine if insufficient knowledge leads to delayed referrals to Hand Clinics.

Main Methods:

  • Cross-sectional questionnaire-based study conducted in 5 major Riyadh hospitals (June-August 2015).
  • A 6-question multiple-choice survey assessed knowledge among 323 participants.
  • Knowledge levels were categorized as good (5-6), adequate (3-4), or inadequate (<3).

Main Results:

  • The overall mean knowledge score was low (2.95/6), even among consultants.
  • No significant differences in mean scores were observed across different medical specialties.
  • Hospital IV achieved the highest mean score (2.99/6).

Conclusions:

  • Inadequate knowledge regarding OBPI is prevalent among healthcare professionals in Riyadh.
  • This knowledge deficit is a likely factor contributing to delayed referrals to Hand Clinics.
  • Educational interventions may be necessary to improve OBPI management and referral timeliness.
Abstract

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