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Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets
Published on: December 19, 2019
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.
Objective:
To study the incidence and risk factors for obstetric brachial plexus palsy and assess the functional outcome.
Material And Methods:
Five-year data of infants with OBPP were reviewed. Case-control study was performed using matched controls to identify the risk factors. Infants with OBPP were followed up to assess functional outcome.
Results:
Of the 14,184 live births over a period of 5 years from 2013 to 2017, 23 (11 males, 12 females) had OBPP. Incidence of OBPP was 1.6 per 1000 live births. Higher birth weight (p-value 0.002) and instrumental delivery (p-value 0.02) were independent risk factors for obstetric brachial plexus palsy by multivariate logistic regression analysis. No cases of obstetric brachial plexus palsy were seen in babies born by cesarean section. 95% of the infants with obstetric brachial plexus palsy had complete recovery by 4 months of age.
Conclusion:
Higher birth weight and instrumental vaginal delivery are independent risk factors for obstetric brachial plexus palsy. Cesarean section may have a protective effect against OBPP. Most infants with obstetric brachial plexus palsy have complete recovery.
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