Turk J Obstet Gynecol. 2015 Jun;12(2):71-74. doi: 10.4274/tjod.80388. Epub 2015 Jun 15.
Six-year incidence and some features of cases of brachial plexus injury in a tertiary referral center.
Turkish journal of obstetrics and gynecology
Meryem Eken, Mehmet Çınar, Taylan Şenol, Enis Özkaya, Ateş Karateke
Affiliations
Affiliations
- Zeynep Kamil Women and Children's Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, ?stanbul, Turkey.
- Zekai Tahir Maternity and Womens Health Training and Research Hospital, Clinic of Obstetrics and Gynecology, Ankara, Turkey.
PMID: 28913046
PMCID: PMC5558379 DOI: 10.4274/tjod.80388
Abstract
OBJECTIVE: To present some features and incidence of cases of brachial plexus injury in deliveries at the Department of Obstetrics and Gynecology of Zeynep Kamil Maternity and Children's Training and Research Hospital, from January 2010 through December 2014.
MATERIALS AND METHODS: In total, 38.896 deliveries in the Department of Obstetrics and Gynecology of Zeynep Kamil Maternity and Children's Training and Research Hospital, from January 2010 through December 2014 were screened from a prospectively collected database. We recorded gravidity, parity, body mass index, maternal diabetes, labor induction, gestational age at delivery, operative deliveries, malpresentations, prolonged second stage of deliveries, shoulder dystocies, clavicle and humerus fructures, estimated fetal weight, biparietal diameter, abdominal circumference, femur length, fetal sex, route of delivery, maternal age, and fetal anomalies.
RESULTS: There were 28 (72/100.000) cases of brachial plexus injury among 38.896 deliveries. In the 6-year study period, there were 18.363 deliveries via c-section, whereas 20.533 were vaginal deliveries.
CONCLUSION: Sonographic fetal weight estimation and clinical examination performed by experienced obstetricians, and active appropriate management of shoulder dystocias seemed to attenuate the incidence of brachial plexus injury in the at risk population in our tertiary referral center.
Keywords: Brachial plexus injury; shoulder dystocia; vaginal delivery
Conflict of interest statement
Conflict of Interest: No conflict of interest was declared by the authors.
References
- Acta Paediatr. 1996 Jul;85(7):843-8 - PubMed
- Am J Obstet Gynecol. 1978 Dec 1;132(7):824-7 - PubMed
- J Matern Fetal Neonatal Med. 2007 Apr;20(4):313-7 - PubMed
- Acta Obstet Gynecol Scand. 2006;85(5):567-70 - PubMed
- Cochrane Database Syst Rev. 2006 Oct 18;(4):CD005543 - PubMed
- Semin Perinatol. 2006 Oct;30(5):276-87 - PubMed
- J Perinat Med. 2004;32(2):113-21 - PubMed
- Eur J Obstet Gynecol Reprod Biol. 2010 Mar;149(1):44-6 - PubMed
- Obstet Gynecol. 2007 Nov;110(5):1059-68 - PubMed
- Ultrasound Obstet Gynecol. 2015 May;45(5):559-65 - PubMed
- Obstet Gynecol. 2002 Nov;100(5 Pt 1):1045-50 - PubMed
- Am J Obstet Gynecol. 2001 Oct;185(4):896-902 - PubMed
- Eur J Obstet Gynecol Reprod Biol. 2014 Jun;177:110-4 - PubMed
- Semin Perinatol. 2014 Jun;38(4):210-8 - PubMed
- Int J Clin Exp Med. 2015 Jan 15;8(1):540-5 - PubMed
- Am J Obstet Gynecol. 1998 Jun;178(6):1126-30 - PubMed
- Am J Obstet Gynecol. 1997 Mar;176(3):656-61 - PubMed
- Am J Obstet Gynecol. 1985 Feb 1;151(3):333-7 - PubMed
- Ultrasound Obstet Gynecol. 2006 Aug;28(2):193-8 - PubMed
- J Gynecol Obstet Biol Reprod (Paris). 2011 Feb;40(1):50-7 - PubMed
- Am J Perinatol. 2013 Apr;30(4):303-7 - PubMed
- Arch Gynecol Obstet. 2012 Aug;286(2):333-6 - PubMed
Publication Types