Risk factors for brachial plexus injury and permanent sequelae due to shoulder dystocia
Yazarlar (10)
B. Elmas
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
N. Ercan
Ankara Numune Education And Research Hospital, Türkiye
Ankara Numune Education And Research Hospital, Türkiye
D. Ersak
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
E. Ozdemir
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
I. Çelik
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
O. Tapisiz
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
Dr. Öğr. Üyesi Arife AKAY ACEMOĞLU Ankara Güven Hastanesi, Türkiye
E. Yucel
Ankara Güven Hastanesi, Türkiye
Ankara Güven Hastanesi, Türkiye
M. Armangil
Ankara Üniversitesi, Türkiye
Ankara Üniversitesi, Türkiye
O. Tekin
University of Health Sciences, Türkiye
University of Health Sciences, Türkiye
| Makale Türü |
Özgün Makale
(SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
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| Dergi Adı | Nigerian Journal of Clinical Practice (Q4) | ||
| Dergi ISSN | 1119-3077 Dergi Bilgileri (2022) | ||
| Dergi Tarandığı Indeksler | SCI | ||
| Makale Dili | Türkçe | Basım Tarihi | 12-2022 |
| Kabul Tarihi | – | Yayınlanma Tarihi | 01-12-2022 |
| Cilt / Sayı / Sayfa | 25 / 12 / 2016–2023 | DOI | 10.4103/njcp.njcp_464_22 |
| Makale Linki | https://doi.org/10.4103/njcp.njcp_464_22 | ||
| UAK Araştırma Alanları |
Kadın Hastalıkları ve Doğum
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| Özet |
| Aim: The primary aim of this study was to determine the risk factors for the occurrence of brachial plexus injury in cases of shoulder dystocia. Secondly, it was aimed to determine the factors affecting the occurrence of permanent sequelae in cases with brachial plexus injury. Subjects and Methods: ICD-10 codes were scanned from the records of patients who gave birth between 2012 and 2018, and the records of patients with brachial plexus injury and shoulder dystocia were reached. Shoulder dystocia cases with brachial plexus damage were accepted as the study group, and shoulder dystocia cases without brachial plexus damage were considered the control group. Shoulder dystocia patients with brachial plexus injury and without injury were compared for 2-year orthopedics clinic follow-up reports, surgical intervention, permanent sequelae status as well as birth data, maternal characteristics, and maneuvers applied to the management of shoulder dystocia. Results: Five hundred sixty births with shoulder dystocia were detected. Brachial plexus injury was observed in 88 of them, and permanent sequelae were detected in 12 of these patients. Maneuvers other than McRobert's (advanced maneuvers) were used more and clavicle fracture was seen more in the group with plexus injury (P < 0.05, P < 0.05, respectively). Logistic regression analysis was performed to determine the risk factors of brachial plexus injury. Brachial plexus injury was observed 4.746 times more in infants who were delivered with advanced maneuvers and 3.58 times more in infants with clavicle fractures at birth. Conclusion: In patients with shoulder dystocia, the risk of brachial plexus injury increased in deliveries in which advanced maneuvers were used and clavicle fracture occurred. |
| Anahtar Kelimeler |
| "Brachial plexus injury" | "maneuvers" | "obstetric palsy" | "sequelae" | "shoulder dystocia" | "vaginal delivery" |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Web of Science | 5 |
| Scopus | 4 |