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ETIOLOGICAL RISK FACTORS FOR BRACHIAL PLEXUS PALSY

Igor Hudić ; Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina
Zlatan Fatušić ; Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina
Osman Sinanović ; Clinic for Neurology, University Clinical Center, Tuzla, Bosnia and Herzegovina
Fahrija Skokić ; Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina
Enida Nevačinović ; Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina
Begzudin Ahmetović ; Clinic for Gynecology and Obstetrics, University Clinical Center, Tuzla, Bosnia and Herzegovina

Sažetak

During a period of nine years, from 01. 01. 1996 to 31. 12. 2004, 45 544 live-born children were analyzed. The analysis is retrospective and is based on medical documentation of the Clinic for Gynecology and Obstetrics, Clinic for Neurology, and Clinic for Rehabilitation and Physiatrics of University Clinical Center Tuzla. The 86 newborns with brachial plexus palsy have been recorded, the prevalence is 1.86 per 1000 live-born children. Analyzing maternal and neonatal factors, and the delivery pattern itself, it has been found that the highest risk-factors for brachial plexus injury are birth weight over 4000 grams, precipitous second stage of labor (<15 minutes), and vacuum-extractor assisted delivery of newborns. Brachial plexus palsy was more frequent when the newborns' mothers were overweight, with a body mass index 29 kg/m2 or more. None of the parturient women, whose newborns were diagnosed with brachial plexus palsy, had a ¬narrowed pelvis. Newborns, who were delivered vaginally, were not diagnosed to have a higher frequency of brachial plexus palsy compared to newborns who were delivered by Caesarean section, but newborns with vaginal breech delivery have had a higher incidence of brachial plexus palsy. Newborns, whose mothers were older than 35, had have brachial plexus palsy more frequently; statistically significant difference between primiparas and multiparas was not found. A total of 39 newborns (45.2%) were diagnosed to have a fracture of clavicle, which was the most frequently combined damage with brachial plexus injury. The 42 newborns (48.8%) had an Apgar score of<8 in the first minute after delivery, which indicates intrapartal distress of fetus and points to traumatic nature of these deliveries. Average birth weight of newborns with plexus brachialis damage was 3858±grames, which, for an average gestation age of 38.8±1,8 weeks of gestation, corresponds to eutrophic newborns. Both male and female newborns were diagnosed to have plexus brachialis equally and almost all deliveries (97.7%) started spontaneously. The majority of newborns were born early in the morning between 2–3 hours or afternoon between 14–15 hours.

Ključne riječi

brachial plexus palsy; newborn; delivery risk factors

Hrčak ID:

23846

URI

https://hrcak.srce.hr/23846

Datum izdavanja:

1.6.2006.

Podaci na drugim jezicima: hrvatski

Posjeta: 3.294 *