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Birth Trauma,

Birth Trauma,

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Published by maghayreh

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Published by: maghayreh on Oct 28, 2008
Copyright:Attribution Non-commercial

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09/07/2012

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,BIRTH TRAUMA
DR MOHD MAGHAYREHPRTH\ IRBID
 
 
INTRODUCTION
■ Caused by mechanical trauma to fetus during labor &/or delivery
■ Incidence estimated 5–8/1,000 births
■ Risk factors for injury
 
Prolonged labor 
 
Precipitous delivery
 
Abnormal fetal presentation (e.g., face, breech)
 
Difficult fetal extraction (e.g., w/ shoulder dystocia)
 
Use of forceps or vacuum
 
Nuchal cord
 
Fetal size (very large or very small)
 
Fetal anomalies predisposing to injury (e.g., osteogenesisimperfecta, hepatosplenomegaly)
 
 
BRACHIAL PLEXUS INJURY 
■ Involves traction injury to cervical-thoracic nerve roots C5-T1
■ Incidence 0.4–2.6/1,000 live births
history & physical
History
■ Breech or abnormal cephalic presentation (56% of brachialplexus injuries)
■ Shoulder dystocia
■ Oxytocin during labor 
■ Large fetal size (
>
3,500 g in 50–75% of brachial plexusinjuries)
■ Low Apgar score (
<
4 at 1 min in 39% of brachial plexusinjuries)

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