The Epidemiology of Brachial Plexus Birth Palsy in the United States: Declining Incidence and Evolving Risk Factors

DeFrancesco, Christopher J.; Shah, Divya; Rogers, Benjamin H.; Shah, Apurva S.

doi:10.1097/bpo.0000000000001089

Cited by 69 publications

(63 citation statements)

References 24 publications

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“…However, another study group of DeFrancesco et al reported the presence of compressive and traction forces as seen with shoulder dystocia as one of the causes which has been shown as the strongest risk factor. 5 Memo et al stated that BPBP can be caused due to fetopelvic disproportion, which would lead to shoulder dystocia. 6 Majority of the respondents felt that these injuries can be prevented by the use of birth simulators.…”

Section: Discussionmentioning

confidence: 99%

Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital

Nayak

D'souza

Bhat

et al. 2019

Int Q Community Health Educ

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A cross-sectional study was conducted using a validated and standardized questionnaire answered by willing pediatricians and obstetricians at our university teaching hospitals. Nearly two thirds of the pediatricians (62.8%) and three fourths of the obstetricians (73.6%) continued to accept the terminology of obstetric brachial plexus birth palsy which is a misnomer; 32.6% of pediatricians felt that they were unaware of the current trends in its management. Parental reluctance (23.5%) and inadequate knowledge in current approaches among surgeons and pediatricians (41.2%) were suggested as chief causes for the delay in their adequate referral and management using surgical exploration, nerve grafting, and nerve transfer. The delayed presentations of birth brachial plexus injuries with missed opportunity for optimum treatment can be partly attributed to inadequate information available on definitive guidelines in its management among the stakeholders including parents, primary care physicians, and surgeons.

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Section: Discussionmentioning

confidence: 99%

Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital

Nayak

D'souza

Bhat

et al. 2019

Int Q Community Health Educ

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“…OBPP is a complication that occurs during childbirth and the frequency of the disease in the general population is 1-3 per 1000 live births. This rate can be compared to other disorders that occur during childbirth or during the early and later stages of a child's life such as Down's Syndrome and Cerebral Palsy 2,3 . Recovery is also reported but there is a variation to the specific rate (30-90%).…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Tsafa¹,

Zafeiris²

2021

JRPMS

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Obstetric brachial plexus palsy (OBPP) is a pathological situation that is defined as a birth complication with the frequency of occurrence 1-3 per 1000 live births globally. The prime mechanism of injury is the complexion and/ or traction of the brachial plexus and may occur in utero through the birth canal or during the process of delivery. This pathology can result in a variety of injuries with that affect the range of motion, the mobility and the use of the upper limb. Management alternatives for the treatment of OBPP consist of non-operative and operative treatment. There is a controversy regarding the selection of the appropriate rehabilitation method for the management of OBPP. The objective of the current research is the search of the literature for the current scientific evidence about the effectiveness of physiotherapy as a conservative method of treatment of infants with OBPP. According to current literature the physiotherapy methods that were used varied form passive exercise to splints and traction. There is little evidence regarding the use of physiotherapy as a primary method of conservative management of OBPP, there is need for more research to elucidate their role

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“…La lesión del plexo braquial es definida como la debilidad flácida de la extremidad superior que ocurre como resultado de la tracción durante el nacimiento. 1 La incidencia reportada en varios países varía de entre 0.38 a 5.1 por 1,000 nacidos vivos; en Estados Unidos ha sido demostrada en 1.51 por cada 1,000 habitantes en datos obtenidos de 1997 a 2003. 2 A medida que aumenta la incidencia de cesárea disminuye la incidencia de lesión del plexo braquial, el factor de riesgo más grande es la distocia de hombros, lo que significa que un niño tiene una probabilidad de 10.4% de sufrir una lesión del plexo si ocurre esta complicación durante el parto.…”

Section: Introductionunclassified

Tratamiento quirúrgico de las lesiones parciales del plexo braquial de nacimiento

Martínez¹,

Reyna²,

Carpio³

et al. 2020

Ortho-Tips

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The Epidemiology of Brachial Plexus Birth Palsy in the United States: Declining Incidence and Evolving Risk Factors

Abstract: Level III-case series.

Cited by 69 publications

References 24 publications

Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital

Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital

Physiotherapy management of obstetric brachial plexus palsy: A systematic review of the literature

Tratamiento quirúrgico de las lesiones parciales del plexo braquial de nacimiento

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