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2018 ; 5
(4
): ä Nephropedia Template TP
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Risk Factors for Brachial Plexus Birth Injury
#MMPMID29596309
Louden E
; Marcotte M
; Mehlman C
; Lippert W
; Huang B
; Paulson A
Children (Basel)
2018[Mar]; 5
(4
): ä PMID29596309
show ga
Over the course of decades, the incidence of brachial plexus birth injury (BPBI)
has increased despite advances in healthcare which would seem to assist in
decreasing the rate. The aim of this study is to identify previously unknown risk
factors for BPBI and the risk factors with potential to guide preventative
measures. A case control study of 52 mothers who had delivered a child with a
BPBI injury and 132 mothers who had delivered without BPBI injury was conducted.
Univariate, multivariable and logistic regressions identified risk factors and
their combinations. The odds of BPBI were 2.5 times higher when oxytocin was used
and 3.7 times higher when tachysystole occurred. The odds of BPBI injury are
increased when tachysystole and oxytocin occur during the mother's labor.
Logistic regression identified a higher risk for BPBI when more than three of the
following variables (>30 lbs gained during the pregnancy, stage 2 labor >61.5
min, mother's age >26.4 years, tachysystole, or fetal malpresentation) were
present in any combination.
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