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Correlating birthweight with neurological severity of obstetric brachial plexus lesions
Author(s) -
Pondaag W,
Allen RH,
Malessy MJA
Publication year - 2011
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2011.02942.x
Subject(s) - brachial plexus , medicine , anesthesia
Please cite this paper as: Pondaag W, Allen R, Malessy M. Correlating birthweight with neurological severity of obstetric brachial plexus lesions. BJOG 2011;118:1098–1103. Objective To investigate the nature and extent of neurosurgically treated obstetric plexus lesions with obstetric and neonatal precedents. Design Retrospective analysis of prospectively collected data. Setting Leiden, the Netherlands. Population A 9‐year cohort of infants ( n = 206) neurosurgically treated for obstetric brachial plexus lesion at a tertiary referral centre for nerve lesions. Method Obstetric and neonatal data (parity, diabetic status, pregnancy gestation, mode of cephalic delivery and birthweight) were collected using a standardised protocol and correlated to neurological severity of the brachial plexus lesion. Main outcome measure Neurological severity of the brachial plexus lesion. Results Nulliparous women delivered significantly lower birthweight newborns ( P = 0.016), injuries in those infants were associated with the least severe injury classification. The most prominent association in ordinal logistic regression was between neurological injury severity and larger birthweight ( P < 0.001). Conclusions Birthweight is correlated with neurological severity of the injury in a group of infants experiencing brachial plexus injury resulting from cephalic vaginal delivery.