Lower-limb neurologic deficit after vaginal delivery: A prospective observational study
International Journal of Obstetric Anesthesia Nov 15, 2019
Tournier A, Doremieux AC, Drumez E, et al. - Since there exists a poor understanding of lower limb neurologic deficit following vaginal delivery, therefore, researchers undertook this single-center observational study to assess the incidence, features, and prognosis related to nerve injury occurring to women during vaginal delivery. A follow-up of four years was performed among women who reported a lower limb neurologic deficit developing immediately after vaginal delivery. A neurologic deficit was reported by 31 (0.3%) of 10,569 women with a singleton vaginal delivery. Nulliparous (71%) were predominant in the study sample. The mean duration of the second stage of labor was 94 min [range 13–224 min]. In most cases, sensory (67.7%) neurologic deficits were reported, as well as primary involvement of femoral nerve territory (83.9%). In this vaginal delivery population, the neurologic deficit was detected in 0.3%. Recovery from neurologic deficit may require many weeks and may seldom be disabling.
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