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Children 2018, 5(4), 46; https://doi.org/10.3390/children5040046

Risk Factors for Brachial Plexus Birth Injury

1
Division of Pediatric Orthopaedic Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA
2
Good Samaritan Hospital, Department of Obstetrics and Gynecology, Division of Maternal/Fetal Medicine, Cincinnati, OH 45229, USA
3
Division of Biostatistics and Epidemiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA
4
Division of Physical Medicine and Rehab, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229, USA
*
Author to whom correspondence should be addressed.
Received: 14 February 2018 / Revised: 16 March 2018 / Accepted: 21 March 2018 / Published: 29 March 2018
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Abstract

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. View Full-Text
Keywords: brachial plexus birth injury; oxytocin; uterine tachysystole; risk factors brachial plexus birth injury; oxytocin; uterine tachysystole; risk factors
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Louden, E.; Marcotte, M.; Mehlman, C.; Lippert, W.; Huang, B.; Paulson, A. Risk Factors for Brachial Plexus Birth Injury. Children 2018, 5, 46.

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