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Immediate postpartum neurological deficits in the lower extremity: a prospective observational study.
Richards, A; McLaren, T; Paech, M J; Nathan, E A; Beattie, E; McDonnell, N.
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  • Richards A; The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
  • McLaren T; The University of Notre Dame Australia, Fremantle, Western Australia, Australia.
  • Paech MJ; Department of Anesthesia and Pain Medicine, King Edward Memorial Hospital, Perth, Western Australia, Australia; School of Medicine and Pharmacology, The University of Western Australia, Perth, Western Australia, Australia. Electronic address: michael.paech@health.wa.gov.au.
  • Nathan EA; Biostatistics and Research Design Unit, Women and Infants Research Foundation, Perth, Western Australia, Australia; School of Women's and Infants Health, The University of Western Australia, Perth, Western Australia, Australia.
  • Beattie E; Department of Anesthesia and Pain Medicine, King Edward Memorial Hospital, Perth, Western Australia, Australia.
  • McDonnell N; Department of Anesthesia and Pain Medicine, King Edward Memorial Hospital, Perth, Western Australia, Australia; School of Medicine and Pharmacology, The University of Western Australia, Perth, Western Australia, Australia; School of Women's and Infants Health, The University of Western Australia, Pe
Int J Obstet Anesth ; 31: 5-12, 2017 May.
Article en En | MEDLINE | ID: mdl-28487040
BACKGROUND: Neurological deficits noted immediately after childbirth are usually various obstetric neuropathies, but prospective studies are limited. The main study aim was to quantify and describe immediate postpartum neurological deficits of the lower extremity, including the buttocks. METHODS: A prospective observational study of postpartum women delivering in a single maternity hospital during three months of 2016. Among 1147 eligible women, 1019 were screened for symptoms of lower extremity numbness or weakness within eight to 32hours of delivery. Consent to undergo a detailed neurological evaluation was sought from those reporting symptoms. Risk factors were identified using logistic regression. RESULTS: Thirty five women (3.4%) reported symptoms, 27 entered the study and 23 (2.0%) had objective signs of a neurological deficit. The most common injuries were mild lumbosacral plexopathies and cluneal nerve compression. Most deficits were sensory, half of these also having a motor deficit that did not impact functionally. Based on analysis of 22 cases involving a likely intrapartum deficit, no association was found with parity, body weight, duration of labour, mode of delivery or neuraxial block. A past history of a neurological condition or a back injury was associated with odds ratios of 7.98 and 4.82 respectively. There were no neurological deficits that were clinically concerning or that were likely a complication of a neuraxial block. CONCLUSION: Transient neurological complications after labour and delivery are infrequent, mainly sensory involving multiple lumbosacral nerve roots or specific sacral cutaneous nerves, and they typically resolve within a short time.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extremidad Inferior / Periodo Posparto / Enfermedades del Sistema Nervioso Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Newborn / Pregnancy Idioma: En Revista: Int J Obstet Anesth Asunto de la revista: ANESTESIOLOGIA / OBSTETRICIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Extremidad Inferior / Periodo Posparto / Enfermedades del Sistema Nervioso Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Middle aged / Newborn / Pregnancy Idioma: En Revista: Int J Obstet Anesth Asunto de la revista: ANESTESIOLOGIA / OBSTETRICIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Países Bajos