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C-Section Advocated in Women With a History Of Brachial Plexus Injury.
SOUTH LAKE TAHOE, NEV. -- Cesarean section should be offered to women who have had a baby with a previous brachial plexus injury, Dr. William M. Gilbert recommended at an obstetrics and gynecology conference sponsored by the University of California, Davis.
Not all brachial plexus injuries occur during the birth process when there is a shoulder dystocia or when the physician pulls on an infant's head with forceps or a vacuum. Nonetheless, many brachial plexus injuries occur in association with shoulder dystocia or operative delivery, and cesarean will prevent those situations, said Dr. Gilbert, a professor of obstetrics and gynecology at the University of California, Davis.
Overall, shoulder dystocia occurs in less than 1% of births, and 5% of shoulder dystocias result in a brachial plexus injury.
In a study Dr. Gilbert conducted of brachial plexus injuries in which the entire cohort of births in California over a 2-year period was analyzed, shoulder dystocia was the most common associated condition, occurring in 53% of cases (Obstet. Gynecol. 93[4]:536-40, 1999).
And in one survey of mothers of infants with brachial plexus injuries, 14% reported having previous children with such injuries (Am. J. Obstet. Gynecol. 117[1]:51-56, 1973).
Another study, from Saudi Arabia, found that in a small group of women with children with permanent brachial plexus injuries, two-thirds of babies born subsequently also had permanent brachial ...
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Source: HighBeam Research, C-Section Advocated in Women With a History Of Brachial Plexus Injury.