Baby Adnan

Dystocia & Brachial Plexus Injury

Syrian Healthcare

A 2006 study showed a preference for female staff during childbirth

Preferences for male or female staff include beliefs that men are more
qualified and women more understanding
The advent of the civil war in 2011 had a great affect on healthcare
Fear changed normal childbirth
 GENERAL PRACTITIONERS(GP):

General Practitioners (GP) are professionals that provide primary care for service
users within the local community.
GPs are the first point of contact within the NHS.
They provide general medical advice and help in identifying health problems at an
early stage.

Day to day task includes:

One to one consultation
Treatment recommendation
Arrange support for service users from other professionals
Writing and maintaining medical reports
PHYSIOTHERAPIST:

Physiotherapists help restore movement and function

The therapist will play an important role in treating and managing Adnan's
brachial plexus injury.
They should help educate mum and dad on Adnans treatment
Therapy will help safely maximise use of Adnans arm

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OCCUPATIONAL THERAPIST:

Therapy is a cornerstone in the management of the symptoms of a child with

brachial plexus injury.
The occupational therapists provide ongoing therapeutic assessment and
treatment
They also work closely with other members of the multi-disciplinary team
PAEDIATRICIAN:

The role of a paediatrician in infants shoulder dystocia assessment is to:

Examine baby Adnans shoulder using a Newborn Infant Physical Examination
(NIPE)
Inform and offer parents two full physical examinations of their newborn
Introduce self to the parents and explain their individual role within baby Adnans
care
SURGEON:

The role of a paediatric surgeon in this scenario was to assess baby

Adnan
By liaising with other health care professionals the surgeon can
determine if surgery is necessary
Minimal contact is required between surgeons and family
CLINICAL NURSE SPECIALIST:

Etc etc
HEALTH VISITOR:

Etc etc
MIDWIFE:

Etc etc
Communication with the Family
Service User Perspectives
Patient Safety
Improving the Scenario
References

http://www.nhs.uk/conditions/physiotherapy/Pages/Introduction.aspx
Bashour, H. and Abdulsalam, A. (2005). Syrian Women's Preferences for Birth
Attendant and Birth Place.Birth, 32(1)