Descriptive Study of Obstetric Brachial Plexus Palsy (OBPP) at a Tertiary Care Hospital

Sarvesh Kossambe1, Leela Kamath1, K K Diwakar1

  • 1Department of Neonatology, MOSC Medical College Hospital, Kolenchery, Kochi, 682311 Kerala India.

Insights

Higher birth weight and instrumental delivery increase the risk of obstetric brachial plexus palsy (OBPP). Cesarean sections appear protective, and most infants with OBPP achieve full recovery.

Area of Science:

  • Obstetrics
  • Neonatal Neurology
  • Pediatric Surgery

Background:

  • Obstetric brachial plexus palsy (OBPP) is a significant concern in neonatal care.
  • Understanding its incidence and risk factors is crucial for prevention and management.

Purpose of the Study:

  • To determine the incidence of OBPP.
  • To identify independent risk factors associated with OBPP.
  • To evaluate the functional outcomes for infants diagnosed with OBPP.

Main Methods:

  • A five-year retrospective review of infant data (2013-2017).
  • A case-control study design utilizing matched controls to identify risk factors.
  • Follow-up assessments to determine functional outcomes in affected infants.

Main Results:

  • The incidence of OBPP was 1.6 per 1000 live births.
  • Higher birth weight (p=0.002) and instrumental vaginal delivery (p=0.02) were identified as independent risk factors.
  • No cases of OBPP were observed in infants delivered via cesarean section.

Conclusions:

  • Elevated birth weight and instrumental delivery are significant risk factors for OBPP.
  • Cesarean delivery may offer a protective effect against the development of OBPP.
  • The majority of infants affected by OBPP experience complete functional recovery by four months of age.
Abstract

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