Obstetrical brachial plexus palsy (PBOPP): epidemiological, therapeutic, and evolutionary features of patients at the University Hospital of Bouake Bouake, Cote d'Ivoire

被引：0

作者：

Benie, Celestin Adoubs ^{[1
]}

Akobe, Jean Regis Achie ^{[2
]}

Lohourou, Franck Grah ^{[1
]}

Traore, Ibrahim ^{[1
]}

Kpangni, Jean Bertrand Ahua ^{[1
]}

Kouassi, Natacha Adelaide Aya ^{[2
]}

Bamba, Inza ^{[1
]}

机构：

[1] Ctr Hosp Univ Bouake, Unite Chirurg Pediat, Bouake, Cote Ivoire

[2] Ctr Hosp Univ Bouake, Serv Orthoped Traumatol, Bouake, Cote Ivoire

来源：

PAN AFRICAN MEDICAL JOURNAL | 2021年 / 38卷

关键词：

Newborn; obstetric palsy; brachial plexus; SHOULDER DYSTOCIA; INJURY;

D O I：

10.11604/pamj.2021.38.309.22940

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: obstetrical brachial plexus palsy is a relatively rare condition that has not disappeared although important progress has been made in obstetrics. The purpose of this study is to analyze the epidemiological, clinical, therapeutic and evolutionary features of this disorder in our context. Methods: we conducted a retrospective study of the medical records of newborns with obstetrical brachial plexus palsy treated at the Bouake University Hospital over a period of two years. Children treated after the age of 3 months weren ' t included. The variables studied were the epidemiological, therapeutic and evolutionary features. Results: the study included 60 patients, reflecting a rate of 28.5%. There were 31 (52%) girls. The average age of patients was 8 days (D0 and D35]. Multiparous mothers accounted for 94% of cases. Birth took place in a health center in 97% of cases. All children were born at term, 57 (95%) in cephalic presentation. Delivery was normal in 74% of cases. Average birthweight was 3604g [2150g and 4500g]. Forty seven cases (78%) had C5-C5-C6 palsies. Immobilization elbow off body associated with rehabilitation was performed in 51 children (85%). Rehabilitation was performed immediately in 9 children (15%). Functional recovery of the injured limb was complete in 50 children (83%) after a follow-up period of 6 months. Conclusion: obstetrical brachial plexus palsy is a current obstetric disorder. Conservative treatment, that is the only alternative in our context, gives good results.

引用

页数：8