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[Maternal paralysis of obstetrical origin. Two case reports]
O Graesslin1, M Elaerts, M Palot
1Clinique Obstétricale et Gynécologique. Hôpital Maison Blanche.
Summary
Obstetrical paralysis, a rare sacral plexus injury, can occur in mothers during difficult childbirth. Symptoms like leg paresthesias and foot drop typically resolve within three months with physiotherapy.
Area of Science:
- Neurology
- Obstetrics
- Physical Medicine and Rehabilitation
Background:
- Obstetrical paralysis, specifically sacral plexus (lumbosacral trunk) injuries, is an uncommon complication during childbirth.
- This condition is more frequently observed in young, petite primigravidae carrying large fetuses, especially following prolonged labor or midforceps delivery.
Observation:
- Symptoms typically manifest a few hours postpartum, presenting as leg and foot paresthesias.
- Patients may experience weakness and foot drop, with paralysis ranging from mild to severe.
Findings:
- The study examines the various mechanisms contributing to sacral plexus injuries during delivery.
- Prognosis for this neurological lesion is generally favorable.
Implications:
- Recovery is common within approximately three months.
- Physiotherapy is the primary recommended treatment modality for managing obstetrical paralysis.