Risk factors associated with neonatal brachial plexus palsy in the United States
- 14 December 2019
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Pediatric Orthopaedics B
- Vol. 29 (4), 392-398
- https://doi.org/10.1097/bpb.0000000000000706
Abstract
Neonatal brachial plexus palsy (NBPP) is a birth injury that can cause severe functional loss in the affected limb. The purpose of this study was to determine the temporal changes in the national incidence of this condition and whether associated risk factors have changed over time. Children born via vaginal delivery were identified in the Kids’ Inpatient Database (KID) from 1997 to 2012, and those with NBPP were identified. The trend in incidence and risk factors were assessed through the study period. The nationwide incidence of NBPP decreased during the study period. Infants with shoulder dystocia, fetal macrosomia, and gestational diabetes had the highest risk of developing NBPP, while multiple birth mates during delivery had a protective effect. Multiple risk factors, including shoulder dystocia, macrosomia, and heavy for dates became less predictive of the development of NBPP over time. Several risk factors predispose children to the development of NBPP, and the effect of these risk factors has been changing. This information can guide obstetric treatment to help prevent NBPP. Level of evidence is diagnostic, level 3.Keywords
This publication has 52 references indexed in Scilit:
- Effects of shoulder dystocia training on the incidence of brachial plexus injuryAmerican Journal of Obstetrics and Gynecology, 2011
- Racial Differences in Pelvic Anatomy by Magnetic Resonance ImagingObstetrics & Gynecology, 2008
- Risk factors for brachial plexus injury with and without shoulder dystociaAmerican Journal of Obstetrics and Gynecology, 2006
- Brachial plexus injury: A 23-year experience from a tertiary centerAmerican Journal of Obstetrics and Gynecology, 2005
- High birthweight and shoulder dystocia: the strongest risk factors for obstetrical brachial plexus palsy in a Swedish population‐based studyActa Obstetricia et Gynecologica Scandinavica, 2005
- Neurological recovery in obstetric brachial plexus injuries: an historical cohort studyDevelopmental Medicine and Child Neurology, 2004
- Perinatally acquired brachial plexus palsy–a persisting challengeActa Paediatrica, 1997
- Obstetrical Brachial Plexus Injury in Newborn Babies Delivered by Caesarean SectionJournal of Hand Surgery (European Volume), 1996
- Early Microsurgical Reconstruction in Birth PalsyClinical Orthopaedics and Related Research, 1987
- Brachial Plexus Palsy in the NewbornClinical Orthopaedics and Related Research, 1975