Advanced

Characteristics and outcome of brachial plexus birth palsy in neonates.

Lindqvist, Pelle LU ; Erichs, Kristina; Molnar, Cecilia; Gudmundsson, Saemundur LU and Dahlin, Lars LU (2012) In Acta paediatrica (Oslo, Norway : 1992) 101(6). p.579-582
Abstract
Aim: To relate pregnancy characteristics to extent and reversibility of brachial plexus birth palsy (BPBP) in neonates. Methods: Retrospective case-control study: newborns with a registered diagnosis of BPBP (n = 168) 1990-2005 were compared to data from a randomly selected control group (n = 1000). Characteristics were related to the level of injury, reversibility and outcome. Results: Among 51 841 newborns, 168 cases with BPBP were found (incidence 3.2/1000 newborns/year). Extent and reversibility of lesion did not differ with respect to characteristics of mothers, foetuses or deliveries. Children with C5-C6 and C5-C6-C7 injuries had complete recovery in 86% and 38%, respectively. Global injuries (C5-Th1) always had permanent disability.... (More)
Aim: To relate pregnancy characteristics to extent and reversibility of brachial plexus birth palsy (BPBP) in neonates. Methods: Retrospective case-control study: newborns with a registered diagnosis of BPBP (n = 168) 1990-2005 were compared to data from a randomly selected control group (n = 1000). Characteristics were related to the level of injury, reversibility and outcome. Results: Among 51 841 newborns, 168 cases with BPBP were found (incidence 3.2/1000 newborns/year). Extent and reversibility of lesion did not differ with respect to characteristics of mothers, foetuses or deliveries. Children with C5-C6 and C5-C6-C7 injuries had complete recovery in 86% and 38%, respectively. Global injuries (C5-Th1) always had permanent disability. Accelerators (foetal weight gain >35 g/day after 32 weeks of gestation) and foetuses with estimated weight deviation ≥ +22% at 32 weeks were at seven- and ninefold increased risk of BPBP. Parous women were at doubled risk as compared to nulliparous women. Conclusion: Maternal and foetal characteristics influence risk of BPBP, but not the extent of injury or reversibility of injury. Because of the high risk of permanent disability and modest risk of low Apgar or pH among newborns with BPBP, the recommendation of prompt delivery may need to be re-evaluated. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta paediatrica (Oslo, Norway : 1992)
volume
101
issue
6
pages
579 - 582
publisher
Taylor & Francis
external identifiers
  • WOS:000303237900016
  • PMID:22296457
  • Scopus:84860465903
ISSN
1651-2227
DOI
10.1111/j.1651-2227.2012.02620.x
language
English
LU publication?
yes
id
de06c5dd-3f8c-4be3-b819-3fc2c40c5258 (old id 2367483)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22296457?dopt=Abstract
date added to LUP
2012-03-02 07:50:26
date last changed
2016-10-13 04:23:27
@misc{de06c5dd-3f8c-4be3-b819-3fc2c40c5258,
  abstract     = {Aim: To relate pregnancy characteristics to extent and reversibility of brachial plexus birth palsy (BPBP) in neonates. Methods: Retrospective case-control study: newborns with a registered diagnosis of BPBP (n = 168) 1990-2005 were compared to data from a randomly selected control group (n = 1000). Characteristics were related to the level of injury, reversibility and outcome. Results: Among 51 841 newborns, 168 cases with BPBP were found (incidence 3.2/1000 newborns/year). Extent and reversibility of lesion did not differ with respect to characteristics of mothers, foetuses or deliveries. Children with C5-C6 and C5-C6-C7 injuries had complete recovery in 86% and 38%, respectively. Global injuries (C5-Th1) always had permanent disability. Accelerators (foetal weight gain >35 g/day after 32 weeks of gestation) and foetuses with estimated weight deviation ≥ +22% at 32 weeks were at seven- and ninefold increased risk of BPBP. Parous women were at doubled risk as compared to nulliparous women. Conclusion: Maternal and foetal characteristics influence risk of BPBP, but not the extent of injury or reversibility of injury. Because of the high risk of permanent disability and modest risk of low Apgar or pH among newborns with BPBP, the recommendation of prompt delivery may need to be re-evaluated.},
  author       = {Lindqvist, Pelle and Erichs, Kristina and Molnar, Cecilia and Gudmundsson, Saemundur and Dahlin, Lars},
  issn         = {1651-2227},
  language     = {eng},
  number       = {6},
  pages        = {579--582},
  publisher    = {ARRAY(0x5676cd8)},
  series       = {Acta paediatrica (Oslo, Norway : 1992)},
  title        = {Characteristics and outcome of brachial plexus birth palsy in neonates.},
  url          = {http://dx.doi.org/10.1111/j.1651-2227.2012.02620.x},
  volume       = {101},
  year         = {2012},
}