Profile of children with new-born brachial plexus palsy managed in a tertiary hospital in Ibadan, Nigeria
Klíčová slova:
New-born, Brachial plexus Palsy, Incidence, Physiotherapy, NigeriaAbstrakt
Summary: New-born Brachial Plexus Palsy (NBPP) is birth injury resulting from traction to the brachial plexus at birth. It is an injury to two or more cervical or thoracic nerve roots. It has been reported to be one of the most common birth injuries of the new-born. Persistent presentation of children with NBPP in Nigeria paediatric practice necessitates the need to examine prevalence, patterns and possible predisposing factors. This study therefore investigated retrospectively, profiles of children who presented with NBPP over a ten year period and were managed at the Physiotherapy department of the University College Hospital, Ibadan Nigeria. A retrospective cross-sectional survey, in which files of children with NBPP located from the database of the Physiotherapy department were retrieved in order to assess infant and maternal information. One hundred and seventy children, 93 (54.7%) males and 77 (45.3%) females were studied. Their mean birth weight was 4.21±0.54 kg, 99 (58.2%) were delivered in private (non-government) hospitals, majority 163 (95.9%) presented with Erb’s Palsy. Mothers, 54 (31.8%) were mostly primiparous and a seemingly persistent elevation in two-yearly incidence of NBPP was observed. Improved healthcare policy in child delivery is encouraged in non-government hospitals in Nigeria to provide preventive measures toward incidence of NBPP. Documentation of physiotherapy management of children with NBPP should include outcomes from admission through to discharge
Reference
Niger. J. Physiol. Sci. 29 (2014): Ogwumike et al
Children with New-born Brachial Plexus Palsy 5
REFERENCES
Al-Rekabi, AM 2011 Brachial Plexus Palsy among Neonates in Bint Al-Huda Teaching Hospital Thi-Qar. Thi-Qar Medical Journal 5 (3): 50-55.
Bérard J, Dufour P, Vinatier D, et al 1998 Fetal macrosomia: risk factors and outcome. Eur J Obstet Gynecol Reprod Biol 77(1): 51-59.
Ecker JL, Greenberg JA, Norwitz ER, et al 1997 Birth weight as a predictor of brachial plexus injury. Obstet Gynecol 89 (5 pt 1) 643-7.
Foad SL, Mehlman CT, Ying J 2008. The epidemiology of Neonatal Brachial Plexus Palsy in the United States. J Bone Joint Surg 90: 1258-1264.
Hamzat TK, Carsamer S, Wiredu EK 2008. Prevalence of new-born brachial plexus palsy in Accra, Ghana. J Pediatr Neurol 6:133-138.
Hoeksma A, Tersteeg AM, Neilssen RGH 2004. Neurological recovery in obstetric brachial plexus injuries: An historical cohort study. Dev Med Child Neurol 46: 76-83.
Narchi, H, Kulaylat, N, Ekuma-Nkama, E 1996 Clavicle Fracture and Brachial Plexus Palsy in the Newborn: Risk Factors and Outcome. Ann Saudi Med 16 (6):707-710.
Narakas, AO 1987. Obstetric brachial plexus injuries. In: Lamb DW (ed). The paralysed hand. Edinburgh: Churchill Livingstone, pp. 116-35.
Nath RK, Karicherla P, Mahmooduddlin F 2010 Shoulder function and anatomy in complete obstetric brachial plexus palsy: long-term improvement after triangle-tilt surgery. Child Nerv Syst 26: 10009-19.
Ogunlade SO, Omololu AB, Alonge TO et al, Skeletal and birth injuries: presentation, management and outcome at the University
College Hospital, Ibadan. Nigeria. Niger J Pediatr 32:12.
Oluwadiya KS, Olasinde, AA, Ukpai OB et al 2005 Birth injury: a retrospective study of 146 cases in three Teaching Hospitals in Nigeria. Internet J Pediatr Neonatol 5 (2).
Onalo R., Ogala WN, Ameh N, et al, 2011 Perinatal Presentation and Outcome of High Birth weight Infants in Zaria, Nigeria. Niger J Paediatr 38(2):65-72.
Piatt, JH 2004 Birth Injuries of the Brachial Plexus. Paediatr Clin N Am 51, 421-440.
Pondaag W, Malessy, MJA, Gert van Dijk, J., et al, 2004 Natural History of Obstetric Brachial Plexus Palsy: A Systematic Review. Dev Med Child Neurol 46 (2), 138-144.
Raio L, Ghezzi F, Di Naro E, et al. 2003 Perinatal outcome of fetuses with a birth weight greater than 4500 g: an analysis of 3356 cases Eur J Obstet Gynecol Reprod Biol 109(2):160-5.
Ruchelsman, DE, Pettrone S, Price AE, et al, (2009) Brachial Plexus Birth Palsy. An Overview of Early Treatment Considerations. Bull NYU Hosp Joint Dis 67(1):83-9.
Sutcliffe TL. Brachial plexus injury in the newborn 2007. NeoReviews (American Academy of Paediatrics) 8: e239-e246.
Tandon S, Tandon V, 2005 Primiparity: a risk factor for brachial plexus injury in the presence of shoulder dystocia. J Obstet Gynaecol 25(5):465-8.
Thatte MR, Mehta R, 2011 Obstetric brachial plexus injury. Indian J Plastic Surg 44 (3): 380-389.
Waters PM. 2005 Update on management of pediatric brachial plexus palsy. J Pediatr Orthop 14A: 233-44.
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