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Identification of pregnancies at increased risk of brachial plexus birth palsy - the construction of a weighted risk score

Lindqvist, Pelle G. ; Ajne, Gunilla ; Cooray, Charith ; Erichs, Kristina ; Gudmundsson, Saemundur LU and Dahlin, Lars LU orcid (2014) In Journal of Maternal-Fetal & Neonatal Medicine 27(3). p.252-256
Abstract
Objective: Since it is difficult to identify women at increased risk of fetal brachial plexus birth palsy (BPBP) during labor and delivery, we aimed to construct and validate a risk score. Methods: A retrospective case-control study was undertaken in 2001 and 2006 in an urban context in Malmo, Sweden. A risk score was constructed for all women who had received routine municipal maternal health care at Skane University Hospital (n = 10 459). The model was validated among all pregnant women with BPBP and controls in Sweden between 2006 and 2007. Results: The likelihood of BPBP increased as the risk score rose: 3.1% of the women studied had a risk score >= 5, including 32.1% of the BPBP cases, where the risk showed a 38-fold increase, as... (More)
Objective: Since it is difficult to identify women at increased risk of fetal brachial plexus birth palsy (BPBP) during labor and delivery, we aimed to construct and validate a risk score. Methods: A retrospective case-control study was undertaken in 2001 and 2006 in an urban context in Malmo, Sweden. A risk score was constructed for all women who had received routine municipal maternal health care at Skane University Hospital (n = 10 459). The model was validated among all pregnant women with BPBP and controls in Sweden between 2006 and 2007. Results: The likelihood of BPBP increased as the risk score rose: 3.1% of the women studied had a risk score >= 5, including 32.1% of the BPBP cases, where the risk showed a 38-fold increase, as compared to those with a risk score <= 1 (2/3 of the population). Conclusion: Our findings indicate that it is possible to identify women at increased risk of having a child with BPBP by using variables observable in advance of delivery. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Birth weight, brachial plexus, brachial plexus birth palsy, prediction, risk, score, shoulder dystocia
in
Journal of Maternal-Fetal & Neonatal Medicine
volume
27
issue
3
pages
252 - 256
publisher
Taylor & Francis
external identifiers
  • wos:000329578400007
  • scopus:84891946757
ISSN
1476-7058
DOI
10.3109/14767058.2013.809415
language
English
LU publication?
yes
id
250f0439-d9b4-4ce0-91b7-087f83e78c09 (old id 4319528)
date added to LUP
2016-04-01 11:08:58
date last changed
2022-02-03 00:10:05
@article{250f0439-d9b4-4ce0-91b7-087f83e78c09,
  abstract     = {{Objective: Since it is difficult to identify women at increased risk of fetal brachial plexus birth palsy (BPBP) during labor and delivery, we aimed to construct and validate a risk score. Methods: A retrospective case-control study was undertaken in 2001 and 2006 in an urban context in Malmo, Sweden. A risk score was constructed for all women who had received routine municipal maternal health care at Skane University Hospital (n = 10 459). The model was validated among all pregnant women with BPBP and controls in Sweden between 2006 and 2007. Results: The likelihood of BPBP increased as the risk score rose: 3.1% of the women studied had a risk score &gt;= 5, including 32.1% of the BPBP cases, where the risk showed a 38-fold increase, as compared to those with a risk score &lt;= 1 (2/3 of the population). Conclusion: Our findings indicate that it is possible to identify women at increased risk of having a child with BPBP by using variables observable in advance of delivery.}},
  author       = {{Lindqvist, Pelle G. and Ajne, Gunilla and Cooray, Charith and Erichs, Kristina and Gudmundsson, Saemundur and Dahlin, Lars}},
  issn         = {{1476-7058}},
  keywords     = {{Birth weight; brachial plexus; brachial plexus birth palsy; prediction; risk; score; shoulder dystocia}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{252--256}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Maternal-Fetal & Neonatal Medicine}},
  title        = {{Identification of pregnancies at increased risk of brachial plexus birth palsy - the construction of a weighted risk score}},
  url          = {{http://dx.doi.org/10.3109/14767058.2013.809415}},
  doi          = {{10.3109/14767058.2013.809415}},
  volume       = {{27}},
  year         = {{2014}},
}