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Obstetric brachial ...
Obstetric brachial plexus palsy: a prospective study on risk factors related to manual assistance during the second stage of labor
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- Mollberg, Margareta, 1953 (författare)
- Högskolan i Borås,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Institutionen för Vårdvetenskap
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- Wennergren, Margareta, 1948 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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Bager, Börje (författare)
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- Ladfors, Lars, 1951 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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- Hagberg, Henrik, 1955 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences
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(creator_code:org_t)
- Informa Healthcare, 2007
- 2007
- Engelska.
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Ingår i: Acta Obstet Gynecol Scand. - : Informa Healthcare. ; 86:2, s. 198-204
- Relaterad länk:
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https://gup.ub.gu.se...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- BACKGROUND: To evaluate the association between obstetric brachial plexus palsy and obstetrical maneuvers during the second stage of delivery. METHODS: Prospective population-based case control study. Cases of obstetric brachial plexus palsy were compared with a randomly selected control group with regard to obstetric management. RESULTS: Five or more obstetrical maneuvers were used to deliver the infants in 82% in the obstetric brachial plexus palsy group versus 1.8% in the controls. Risk factors independently associated with obstetric brachial plexus palsy were force applied when downward traction was imposed on the fetal head (odds ratio 15.2; 95% confidence interval 8.4-27.7). The incidence of obstetric brachial plexus palsy in the infants in the population was 3.3 per thousand. At 18 months of age 16.1% (incidence of 0.05%) of children had residual functional deficits and downward traction with substantial force was applied in all these cases. CONCLUSIONS: Forceful downward traction applied to the head after the fetal third rotation represents an important risk factor of obstetric brachial plexus palsy in vaginal deliveries in cephalic presentation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Adult
- Birth Injuries/*etiology
- Birth Weight
- Brachial Plexus/*injuries
- Brachial Plexus Neuropathies/*etiology
- Case-Control Studies
- Delivery
- Obstetric/*adverse effects/methods
- Female
- Humans
- Infant
- Newborn
- Labor Stage
- Second
- Multivariate Analysis
- Pregnancy
- Pregnancy Outcome
- Prospective Studies
- Risk Factors
- Shoulder/*injuries
- Midwifery
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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