AI Article Synopsis
- The study aimed to identify and analyze perinatal factors linked to brachial plexus birth injury (BPBI) in infants and how these factors relate to the severity of the injury.
- Conducted retrospectively, the research involved 796 infants with BPBI enrolled in a multicenter registry, revealing that almost all had at least one perinatal factor, with shoulder dystocia being the most common.
- The findings suggested that NICU admissions and birth asphyxia correlated strongly with the severity of BPBI, emphasizing the need for better understanding to enhance prevention and referral practices.
Article Abstract
Objectives: To determine the prevalence of perinatal factors associated with brachial plexus birth injury (BPBI) in affected infants and their relationship with BPBI severity.
Study Design: Retrospective study of BPBI infants prospectively enrolled in a multicenter registry. The prevalence of perinatal factors was calculated. Infants were stratified by injury severity and groups were compared to determine the association of severity and perinatal factors.
Results: Seven-hundred-ninety-six BPBI infants had a mean 4.2 ± 1.6 perinatal factors. Nearly all (795/796) reported at least one factor, including shoulder dystocia(96%), no clavicle fracture (91%), difficult delivery(84%), parity >1(61%) and birthweight >4000 g(55%). Ten-percent (74/778) had Horner's syndrome and 28%(222/796) underwent nerve surgery. Birth asphyxia and NICU admission were significantly associated with injury severity.
Conclusions: NICU admission and asphyxia were associated with BPBI severity. An improved understanding of the relationship between perinatal factors and BPBI severity may be used to guide early referral to BPBI providers and support prevention efforts.
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| http://dx.doi.org/10.1038/s41372-022-01594-0 | DOI Listing |
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