Obstetric brachial plexus palsy: a population-based retrospective case-control study and medicolegal considerations

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Simona ZaamiVittorio Fineschi

Abstract

The aim of this study was to examine 24 cases of obstetric brachial plexus palsy (OBPP) in 41,002 deliveries occurred at San Camillo-Forlanini Hospital in Rome, during the period 2000-2012. A population-based retrospective case-control study was designed and the database of the hospital was searched; for each case, maternal and fetal records were examined and some risk factors were evaluated. A statistically significant association between the 24 cases OBPP and the following risk factors: primiparity (p < .014), birth weight (p < .002), maternal age (p < .02), diabetes (p < .03) and shoulder dystocia (p < .003) was found, moreover all the OBPP cases were recorded only in vaginal deliveries. The absence of OBPP cases in cesarean deliveries highlighted in this study supports the option of proposing an elective cesarean in the presence of known risk factors after a full disclosure with the mother of risks and benefits in order to obtain a valid consent. Furthermore, when cases of OBPP occur, communication between the physician and the parents of newborns is crucial and it may represent a valid risk-management tool to reduce malpractice lawsuits.

References

Mar 11, 1992·JAMA : the Journal of the American Medical Association·G B HicksonF A Sloan
Sep 1, 1973·American Journal of Obstetrics and Gynecology·M GordonM Green
Nov 1, 1984·Journal of Pediatric Orthopedics·A G GreenwaldJ L Shiveley
Feb 1, 1981·The Journal of Bone and Joint Surgery. British Volume·A E Hardy
Aug 1, 1993·Acta Obstetricia Et Gynecologica Scandinavica·T Walle, A L Hartikainen-Sorri
Jun 13, 1998·American Journal of Perinatology·J G OuzounianJ P Phelan
Sep 10, 1998·American Journal of Obstetrics and Gynecology·T S NesbittB Herrchen
Apr 24, 1999·Obstetrics and Gynecology·W M GilbertB Danielsen
Apr 22, 2003·Orthopaedic Nursing·Elaine A Dunham
Sep 27, 2005·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S Tandon, V Tandon
Sep 5, 2006·American Journal of Obstetrics and Gynecology·Robert B GhermanT Murphy Goodwin
Mar 25, 2008·Pediatric Neurology·Dimitrios I Zafeiriou, Katerina Psychogiou
Nov 26, 2008·Paediatrics & Child Health·John AndersenJohn Van Aerde
Feb 26, 2010·The Journal of Hand Surgery, European Volume·M M Al-QattanF S Al-Kahtani
Sep 16, 2010·Annals of the New York Academy of Sciences·Stergios K Doumouchtsis, Sabaratnam Arulkumaran
Apr 30, 2014·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·N FeliciC Cannatà
May 28, 2014·Seminars in Perinatology·Suneet P ChauhanCande V Ananth
May 28, 2014·Seminars in Perinatology·Joseph G Ouzounian
Jun 19, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Loïc SentilhesVéronique Lejeune-Saada

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Citations

Jan 31, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Carmen Imma AquinoVincenzo Berghella
Jun 24, 2020·Zeitschrift für Geburtshilfe und Neonatologie·Dubravko Habek, Anis Cerovac

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