Effect of operative vaginal delivery on the outcome of permanent brachial plexus injury

Sarah H. Poggi, Alessandro Ghidini, Robert H. Allen, John C. Pezzullo, Ted C. Rosenbaum, Catherine Y. Spong

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To evaluate whether operative vaginal delivery worsens the extent and/or degree of permanent brachial plexus injury. STUDY DESIGN: We utilized a dataset (n = 104) of vaginal deliveries resulting in permanent brachial plexus injury that ultimately underwent litigation. We excluded patients on whom neonatal injury information was incomplete (n = 5). Patients who had an operative vaginal delivery (n = 33) were compared with those who did not (n = 66) in regard to neonatal outcome and the location and extent of neurologic injury. RESULTS: The 2 classes were similar in demographic and obstetric variables. There were no differences in rates of 5-minute Apgar scores < 7 (17.9%, or 5/28, vs. 5.2%, or 3/57, P = .1), complete neurologic injury to the brachial plexus (C5-T1) (39%, or 13/33, vs. 38%, or 25/66; P = 1.0) or avulsion of the nerve roots (44%, or 12/27, vs. 36%, or 18/50; P = .5) between those with operative or spontaneous vaginal delivery. CONCLUSION: Operative vaginal delivery did not increase the severity of impairment in a dataset of deliveries resulting in permanent brachial plexus injury.

Original languageEnglish (US)
Pages (from-to)692-696
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume48
Issue number9
StatePublished - Sep 1 2003
Externally publishedYes

Keywords

  • Brachial plexus
  • Delivery
  • Dystocia

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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