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. 2018 Mar 29;5(4):46.
doi: 10.3390/children5040046.

Risk Factors for Brachial Plexus Birth Injury

Emily Louden  1 , Michael Marcotte  2 , Charles Mehlman  3 , William Lippert  4 , Bin Huang  5 , Andrea Paulson  6
Affiliations

Risk Factors for Brachial Plexus Birth Injury

Emily Louden et al. Children (Basel). .

Abstract

Over the course of decades, the incidence of brachial plexus birth injury (BPBI) has increased despite advances in healthcare which would seem to assist in decreasing the rate. The aim of this study is to identify previously unknown risk factors for BPBI and the risk factors with potential to guide preventative measures. A case control study of 52 mothers who had delivered a child with a BPBI injury and 132 mothers who had delivered without BPBI injury was conducted. Univariate, multivariable and logistic regressions identified risk factors and their combinations. The odds of BPBI were 2.5 times higher when oxytocin was used and 3.7 times higher when tachysystole occurred. The odds of BPBI injury are increased when tachysystole and oxytocin occur during the mother's labor. Logistic regression identified a higher risk for BPBI when more than three of the following variables (>30 lbs gained during the pregnancy, stage 2 labor >61.5 min, mother's age >26.4 years, tachysystole, or fetal malpresentation) were present in any combination.

Keywords: brachial plexus birth injury; oxytocin; risk factors; uterine tachysystole.

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Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, and in the decision to publish the results.

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References

    1. Foad S., Mehlman C., Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. Am. J. Bone Jt. Surg. 2008;90:1258–1264. doi: 10.2106/JBJS.G.00853. - DOI - PubMed
    1. Volpe K.A., Snowden J.M., Cheng Y.W., Caughey A.B. Risk factors for brachial plexus injury in a large cohort with shoulder dystocia. Arch. Gynecol. Obstet. 2016;294:925–929. doi: 10.1007/s00404-016-4067-0. - DOI - PubMed
    1. Figueiredo R., Grechi G., Gepp R. Oberlin’s procedure in children with obstetric brachial plexus palsy. Child Nerv. Sys. Chns Off. J. Int. Soc. Pediatr. Neurosurg. 2016;32:1085–1091. doi: 10.1007/s00381-015-3007-9. - DOI - PubMed
    1. Tian C., Hu C., He X., Zhu M., Qin F., Liu Y., Hu C. Excessive weight gain during pregnancy and risk of macrosomia: A meta-analysis. Arch. Gynecol. Obstet. 2015;293:29–35. doi: 10.1007/s00404-015-3825-8. - DOI - PubMed
    1. van Buuren S., Groothuis-Oudshoorn K. MICE: Multivariate Imputation by Chained Equations in R. J. Stat. Softw. 2011;45:1–67. doi: 10.18637/jss.v045.i03. - DOI

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