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Obstetric neonatal brachial plexus and facial nerve injuries: A 17 years single tertiary maternity hospital experience

European Journal of Obstetrics & Gynecology and Reproductive Biology Nov 22, 2019

Rehm A, et al. - Researchers examined electronic databases of their tertiary maternity hospital in the United Kingdom for all live births born between 2000 and 2016 and those neonates who sustained a nerve injury during delivery in order to establish the incidence of obstetric neonatal brachial plexus and facial nerve injuries in their hospital. In addition, they sought for associated risk factors with an emphasis on the time of delivery. Among 87,461 live births, 29 had sustained a facial nerve and 45 a brachial plexus injury. This indicated a low obstetric neonatal nerve injury rate (0.085%) with the brachial plexus injury rate of 0.051%, which is about one-third of a historical rate from Ireland (0.15%) and half of the rate recently reported from the United States (0.12%). This could be related to their staff dealing with many high-risk pregnancies. They recommend including neonatal birth injury data as a clinical safety marker for delivery units.
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