Kossi O1,2, Wano D2, Tchanmédji K1, Razakou G2, Sama K2, Yawo A2
1ENAM Lomé, Lomé, Togo, 2CHU-SO Lomé, Lomé, Togo
Background: The high number of children received in rehabilitation for obstetrical brachial plexus palsy led us to seek to identify risk factors, in order to propose solutions.
Purpose: To determine risk factors for obstetric brachial plexus palsy in the maternity unit at the Sylvanus Olympio University Hospital in Lomé (Togo).
Methods: This is a prospective study of patients with obstetrical brachial plexus palsy in the maternity unit at the Sylvanus Olympio University Hospital unit from 1 January 2012 to 31 December 2014.
Results: A total of 25 patients were recruited, 68% of whom were male, with a sex ratio of 2.1. 56% have a birth weight greater than 4000g, 72% with a size between 46-52 cm. 72% have a cranial perimeter greater than 36 cm. The seat presentation at birth is 10%, 72% cephalic presentation and 18% shoulder presentation. The obstructed labor is 88%, with 96% vaginally. 10% of mothers are diagnosed with diabetes, and 56% of mothers were primiparous, 80% over 40 years of age.
Conclusion(s): The risk factors for obstetric palsy of the brachial plexus are multiple. Parameters related to the child, childbirth and mother, some factors related to pregnancy and the mother´s condition are to be monitored. We must therefore establish a communication to avoid the occurrence and especially the increase of cases in our centers.
Implications: This study allowed us to identify and communicate with birth attendants and midwives on education and accompaniment of famines for prevention.
Keywords: obstetric brachial plexus palsy, risk factors
Funding acknowledgements: No funding
Purpose: To determine risk factors for obstetric brachial plexus palsy in the maternity unit at the Sylvanus Olympio University Hospital in Lomé (Togo).
Methods: This is a prospective study of patients with obstetrical brachial plexus palsy in the maternity unit at the Sylvanus Olympio University Hospital unit from 1 January 2012 to 31 December 2014.
Results: A total of 25 patients were recruited, 68% of whom were male, with a sex ratio of 2.1. 56% have a birth weight greater than 4000g, 72% with a size between 46-52 cm. 72% have a cranial perimeter greater than 36 cm. The seat presentation at birth is 10%, 72% cephalic presentation and 18% shoulder presentation. The obstructed labor is 88%, with 96% vaginally. 10% of mothers are diagnosed with diabetes, and 56% of mothers were primiparous, 80% over 40 years of age.
Conclusion(s): The risk factors for obstetric palsy of the brachial plexus are multiple. Parameters related to the child, childbirth and mother, some factors related to pregnancy and the mother´s condition are to be monitored. We must therefore establish a communication to avoid the occurrence and especially the increase of cases in our centers.
Implications: This study allowed us to identify and communicate with birth attendants and midwives on education and accompaniment of famines for prevention.
Keywords: obstetric brachial plexus palsy, risk factors
Funding acknowledgements: No funding
Topic: Paediatrics; Musculoskeletal: lower limb; Paediatrics
Ethics approval required: No
Institution: Déparetement de Kinésithérapie de l'ENAM Lomé
Ethics committee: Collège des Formateurs de l'ENAM Lomé
Reason not required: It is a study desired by the Department of Physiotherapy and the Pediatric Department of the University Hospital Center following the observations of the results in the care of children. It is an anonymous study, with concentment of the participants.
All authors, affiliations and abstracts have been published as submitted.
