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Risk factors for Erb-Duchenne palsy.

D B Acker1, K D Gregory, B P Sachs

  • 1Department of Obstetrics and Gynecology, Charles A. Dana Research Institute, Boston, Massachusetts.

Obstetrics and Gynecology
|March 1, 1988
PubMed
Summary
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Maternal diabetes significantly increases the risk of Erb-Duchenne palsy, a birth injury. Precipitate labor also contributes to this neurologic complication in infants.

Area of Science:

  • Obstetrics
  • Neonatal Neurology
  • Perinatology

Background:

  • Erb-Duchenne palsy is a significant neonatal neurologic complication.
  • Risk factors for Erb-Duchenne palsy require further investigation.

Purpose of the Study:

  • To examine risk factors associated with Erb-Duchenne palsy.
  • To compare the incidence of Erb-Duchenne palsy in diabetic versus nondiabetic pregnancies.

Main Methods:

  • Retrospective analysis of Erb-Duchenne palsy cases.
  • Comparison of incidence rates between diabetic and nondiabetic gravidas.
  • Evaluation of labor characteristics in affected infants.

Main Results:

  • A statistically significant higher incidence of Erb-Duchenne palsy was observed in diabetic gravidas (10.5 per 1000) compared to nondiabetic gravidas (0.56 per 1000).

Related Experiment Videos

  • One in six infants of diabetic gravidas with shoulder dystocia experienced Erb-Duchenne palsy.
  • A high incidence (31.8%) of precipitate second-stage labor was noted in infants with this neurologic complication.
  • Conclusions:

    • Maternal diabetes is a significant risk factor for Erb-Duchenne palsy.
    • Precipitate labor may contribute to Erb-Duchenne palsy, but is not preventable.
    • The risk of Erb-Duchenne palsy exists across all levels of physician experience.