Obstetric brachial plexus palsy: a population-based retrospective case-control study and medicolegal considerations

被引：11

作者：

Zaami, Simona ^{[1
]}

Busardo, Francesco Paolo ^{[1
]}

Signore, Fabrizio ^{[2
]}

Felici, Nicola ^{[3
]}

Briganti, Vito ^{[4
]}

Baglio, Giovanni ^{[5
]}

Marinelli, Enrico ^{[1
]}

Fineschi, Vittorio ^{[1
]}

机构：

[1] Sapienza Univ Rome, Dept Anat Histol Forens & Orthopaed Sci, Viale Regina Elena 336, I-00185 Rome, Italy

[2] San Camillo Forlanini Hosp, Dept Obstet & Gynecol, Rome, Italy

[3] San Camillo Forlanini Hosp, Unit Reconstruct Surg Limbs, Rome, Italy

[4] San Camillo Forlanini Hosp, Pediat Surg & Urol Unit, Rome, Italy

[5] Natl Inst Hlth, Migrat & Poverty NIHMP, Rome, Italy

来源：

JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE | 2018年 / 31卷 / 11期

关键词：

Obstetric brachial plexus palsy; risk factors; communication; malpractice lawsuits; RISK-FACTORS; SHOULDER DYSTOCIA; BIRTH TRAUMA; INJURIES; PROGNOSIS; MANAGEMENT; BABIES; BORN;

D O I：

10.1080/14767058.2017.1317737

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Aims: The aim of this study was to examine 24 cases of obstetric brachial plexus palsy (OBPP) in 41,002 deliveries occurred at San Camillo-Forlanini Hospital in Rome, during the period 2000-2012.Materials and methods: A population-based retrospective case-control study was designed and the database of the hospital was searched; for each case, maternal and fetal records were examined and some risk factors were evaluated.Results: A statistically significant association between the 24 cases OBPP and the following risk factors: primiparity (p<.014), birth weight (p<.002), maternal age (p<.02), diabetes (p<.03) and shoulder dystocia (p<.003) was found, moreover all the OBPP cases were recorded only in vaginal deliveries.Conclusions: The absence of OBPP cases in cesarean deliveries highlighted in this study supports the option of proposing an elective cesarean in the presence of known risk factors after a full disclosure with the mother of risks and benefits in order to obtain a valid consent. Furthermore, when cases of OBPP occur, communication between the physician and the parents of newborns is crucial and it may represent a valid risk-management tool to reduce malpractice lawsuits.

引用

页码：1412 / 1417

页数：6

共 29 条

[1] OBSTETRIC BRACHIAL PLEXUS PALSY IN NEWBORN BABIES OF DIABETIC AND NON-DIABETIC MOTHERS
Al-Qattan, M. M.
El-Sayed, A. A. F.
Al-Zahrani, A. Y.
Al-Mutairi, S. A.
Al-Harbi, M. S.
Al-Mutairi, A. M.
Al-Kahtani, F. S.
[J]. JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2010, 35E (05) : 362 - 365
[2] Alfonso DT, 2011, BULL HOSP JT DIS, V69, P11
[3] American College of Obstetricians and Gynecologists, 2002, ACOG PRACT PATT 40 S
[4] Andersen John, 2006, Paediatr Child Health, V11, P93
[5] Neonatal brachial plexus palsy: Incidence, prevalence, and temporal trends
Chauhan, Suneet P.
Blackwell, Sean B.
Ananth, Cande V.
[J]. SEMINARS IN PERINATOLOGY, 2014, 38 (04) : 210 - 218
[6] CLARKE HM, 1995, HAND CLIN, V11, P563
[7] Is it possible to reduce obstetrical brachial plexus palsy by optimal management of shoulder dystocia?
Doumouchtsis, Stergios K.
Arulkumaran, Sabaratnam
[J]. WOMEN'S HEALTH AND DISEASE, 2010, 1205 : 135 - 143
[8] Dunham Elaine A, 2003, Orthop Nurs, V22, P106, DOI 10.1097/00006416-200303000-00007
[9] Cost Analysis of Brachial Plexus Injuries: Variability of Compensation by Insurance Companies before and after Surgery
Felici, N.
Zaami, S.
Ciancolini, G.
Marinelli, E.
Tagliente, D.
Cannata, C.
[J]. HANDCHIRURGIE MIKROCHIRURGIE PLASTISCHE CHIRURGIE, 2014, 46 (02) : 85 - 89
[10] Shoulder dystocia: The unpreventable obstetric emergency with empiric management guidelines
Gherman, Robert B.
Chauhan, Suneet
Ouzounian, Joseph G.
Lerner, Henry
Gonik, Bernard
Goodwin, T. Murphy
[J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2006, 195 (03) : 657 - 672

← 1 2 3 →