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Incidence of obstetric brachial plexus palsy after a training program in shoulder dystocia.
Salvador López, Rita; Cruz Melguizo, Sara; Sanz Lorenzana, Amelia; Diez de Los Rios Quintanero, Blanca; Malalana Martinez, Ana; de la Cruz Conty, Maria Luisa; Martínez Pérez, Oscar.
Afiliación
  • Salvador López R; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain. Electronic address: r.matrosimulacion@gmail.com.
  • Cruz Melguizo S; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
  • Sanz Lorenzana A; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
  • Diez de Los Rios Quintanero B; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
  • Malalana Martinez A; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
  • de la Cruz Conty ML; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
  • Martínez Pérez O; Hospital Universitario Puerta de Hierro de Majadahonda, Madrid, Spain.
An Pediatr (Engl Ed) ; 97(6): 415-421, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36266188
INTRODUCTION: Shoulder dystocia is a nonpreventable obstetric emergency that causes severe complications, such as obstetric brachial plexus palsy. The objective of the study was to determine the incidence of obstetric brachial plexus palsy and other neonatal complications associated with shoulder dystocia in deliveries managed in a university hospital after the implementation of a simulation-based training that was offered to all the labour and delivery staff on a voluntary basis. MATERIAL AND METHODS: Retrospective observational study including all cases of shoulder dystocia and associated complications (mainly obstetric brachial plexus palsy) documented between January 2017 and December 2020, after the implementation of the training. In addition, we collected retrospective data on cases of obstetric brachial plexus palsy that developed in the hospital before the training (2008-2016). RESULTS: In the 2017-2020 period, in the total of 125 cases of shoulder dystocia (amounting to 1.38% of vaginal deliveries), there were 14 cases of obstetric brachial plexus palsy (11.2% of the cases of shoulder dystocia), 7 clavicle fractures and 1 humerus fracture; none of the cases of obstetric brachial plexus palsy was permanent or required treatment or rehabilitation past six months. In the years preceding the training, there were 7 cases of obstetric brachial plexus palsy, 2 permanent and 5 temporary (3 of which required rehabilitation). CONCLUSION: These results reflect the importance of knowing the morbidity present in the labour and delivery ward and the potential benefit of simulation-based training programmes in the resolution of these obstetric complications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plexo Braquial / Neuropatías del Plexo Braquial / Distocia / Distocia de Hombros Tipo de estudio: Incidence_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: An Pediatr (Engl Ed) Año: 2022 Tipo del documento: Article Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Plexo Braquial / Neuropatías del Plexo Braquial / Distocia / Distocia de Hombros Tipo de estudio: Incidence_studies / Observational_studies / Risk_factors_studies Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: An Pediatr (Engl Ed) Año: 2022 Tipo del documento: Article Pais de publicación: España