shoulder dystocia/astenia

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Severe shoulder dystocia with a small-for-gestationaI-age infant: a case report.

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BACKGROUND Severe shoulder dystocia is disproportionately associated with large-for-gestational-age infants. METHODS A nulliparous patient at 38 weeks' gestation had an uncomplicated antenatal course. Clinical pelvimetry revealed an acute-angle pubic arch but otherwise normal diameters, conjugate

Shoulder dystocia: its incidence and associated risk factors.

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A case-control study (73 cases, 146 controls) was conducted to evaluate maternal, obstetrical and fetal factors associated with shoulder dystocia. Several factors were identified that were associated with a higher incidence of shoulder dystocia. However, none of them accurately predict those

[Analysis of brachial plexus injuries reported to MRM].

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Upper-arm weakness (paresis) or paralysis in the newborn (Erb's palsy) usually indicates peripheral-nerve damage to the brachial plexus. Its location lateral to the lower cervical spine (C5-T1) renders it susceptible to injury by pressure or traction during pregnancy, labor or delivery. The Medical

Erb's palsy - Who is to blame and what will happen?

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Erb's palsy is initially frightening. The infant's arm hangs limply from the shoulder with flexion of the wrist and fingers due to weakness of muscles innervated by cervical roots C5 and C6. Risk factors are macrosomia (large baby) and shoulder dystocia. However, Erb's palsy may occur following

Ultrasonography for neonatal brachial plexus palsy.

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Ultrasonography has previously been reported for use in the evaluation of compressive or traumatic peripheral nerve pathology and for its utility in preoperative mapping. However, these studies were not performed in infants, and they were not focused on the brachial plexus. The authors report a case

Part 1. Injuries to the brachial plexus: mechanisms of injury and identification of risk factors.

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Upper-arm weakness (paresis) or paralysis indicates peripheral-nerve damage to the brachial plexus, a network of lower cervical and upper thoracic spinal nerves supplying the arm, forearm, and hand. Physical findings reflect muscle paralysis from spinal nerve roots. The mechanism of injury includes

Fetal macrosomia (> or =4500 g): perinatal outcome of 231 cases according to the mode of delivery.

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OBJECTIVE To determine perinatal complications in infants >or = 4500 g according to delivery mode. METHODS Records of 231 mothers and live cephalic infants weighing >or = 4500 g over a 13-year period were retrospectively reviewed. Maternal and perinatal complications were compared in relation to

Gitelman syndrome in pregnancy: a case series

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Objective: To evaluate maternal and fetal outcomes in women with Gitelman syndrome (GS). Methods: Retrospective analysis of the clinical data of five patients with the clinical

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