From 1959 to 1973, 40 children were born with obstetric lesions of the brachial plexus. This amounted to a frequency of 1.3%. A high birth weight was an important causal factor. The high incidence of artificial vagina termination of delivery was noticeable. In vertex deliveries, shoulder dystocia was an important factor; in these cases, the lesion was practically always on the side of the anterior shoulder. The Erb type of lesion was by far the most frequent form. The treatment is discussed. A complete follow up of all 40 children was attained. 6 children (15%) failed to recover completely. The residual symptoms were severe in 1 case, moderately severe in 2 and mild in 2. 1 child died before normalization had been achieved. Important preventive elements are the correct treatment of difficulties in the delivery of the shoulder girdle, as well as the prevention of such difficulties. It is recommended that difficult vaginal termination be replaced by caesarean section to an even greater extent than at present.
|Original language||English (US)|
|Number of pages||7|
|Journal||Nederlands Tijdschrift voor Geneeskunde|
|State||Published - 1976|
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