Obstetric Brachial Plexus Palsy in Newborn Babies of Diabetic and Non-Diabetic Mothers
| Autor: | Sulaiman Almutairi, Mohammad M. Al-Qattan, F. S. Al-Kahtani, A. A. F. El-Sayed, A. Y. Al-Zahrani, A. M. Al-Mutairi, Mohammed Alharbi |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Rotation Movement Mothers 030230 surgery 03 medical and health sciences Shoulder dystocia 0302 clinical medicine Diabetes mellitus Birth Injuries Elbow Joint Diabetes Mellitus medicine Birth Weight Humans Brachial Plexus Neuropathies Elbow flexion Retrospective Studies 030222 orthopedics Motor power Palsy Shoulder Joint Obstetrics business.industry Infant Newborn Retrospective cohort study Recovery of Function medicine.disease body regions Anesthesia Female Surgery business Brachial plexus Non diabetic |
| Zdroj: | Journal of Hand Surgery (European Volume). 35:362-365 |
| ISSN: | 2043-6289 1753-1934 |
| DOI: | 10.1177/1753193410362645 |
| Popis: | Compared to non-diabetic mothers, diabetic mothers are known to deliver larger babies who are at higher risk for shoulder dystocia and obstetric brachial plexus palsy. The intrapartum forces applied during delivery of larger babies are expected to be higher. Hence, the chances of these babies for good spontaneous recovery are expected to be lower; and this is a generally believed hypothesis. The objective of this retrospective study was to compare obstetric brachial plexus palsy in newborn babies of diabetic and non-diabetic mothers. There were a total of 655 cases of obstetric palsy: 253 cases with diabetic mothers and 402 with non-diabetic mothers. The former were more likely to develop total palsy while the latter were more likely to develop extended Erb’s palsy. Newborn babies of diabetic mothers had significantly larger birth weights than those of non-diabetic mothers regardless of the type of palsy. The rate of good spontaneous recovery of the motor power of the limb in the two groups was not significantly different except in total palsy cases for shoulder external rotation and elbow flexion where the recovery was significantly better in the diabetic group. It was concluded that the generally believed hypothesis is not correct if one compares the outcome in the diabetic and non-diabetic groups for each type of palsy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|