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Brachial plexus neonate

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https://www.readbyqxmd.com/read/27921380/induction-of-labour-for-suspected-macrosomia-at-term-in-non-diabetic-women-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#1
REVIEW
E R Magro-Malosso, G Saccone, M Chen, R Navathe, M Di Tommaso, V Berghella
BACKGROUND: Several randomized controlled trials (RCTs) compared induction of labour with expectant management in non-diabetic women with suspected fetal macrosomia. OBJECTIVE: To evaluate the effects of labour induction for suspected fetal macrosomia. SEARCH STRATEGY: Literature search in electronic databases. SELECTION CRITERIA: We included all RCTs of suspected fetal macrosomia comparing labour induction with expectant management in term pregnancy...
December 5, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27834085/neonatal-brachial-plexus-palsy-and-causation
#2
EDITORIAL
M J Turner, M Farren
No abstract text is available yet for this article.
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27784179/neonatal-brachial-plexus-palsy-obstetric-factors-associated-with-litigation
#3
Suneet P Chauhan, Kate W-C Chang, Nana-Ama Esi Ankumah, Lynda J-S Yang
OBJECTIVE: Our objective was to compare characteristics between neonatal brachial plexus palsy (NBPP) cases that were litigated versus those that were not. STUDY DESIGN: From May to December 2012, the University of Michigan Interdisciplinary Brachial Plexus Program surveyed 51 consecutive families whose children were treated for NBPP. Obstetric data was self-reported. Unless NBPP resolved, children were followed for at least two years. Student's t-test and Chi-square test with odds ratio and 95% confidence intervals were calculated...
November 16, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27771202/-in-case-of-fetal-macrosomia-the-best-strategy-is-the-induction-of-labor-at-38%C3%A2-weeks-of-gestation
#4
REVIEW
P Rozenberg
Macrosomic fetuses are at increased risk of obstetric complications, and notably shoulder dystocia, responsible for a severe neonatal morbidity. In case of fetal macrosomia, three options are: (i) the elective cesarean delivery, but this is recommended only when the estimated fetal weight is≥4500g for diabetic women and 5000g for non-diabetic women; (ii) the expectative management, but children with birth weight≥4500 had significantly increased risk of perinatal mortality, neonatal asphyxia, trauma, and cesarean delivery; (iii) the induction of labor which, reducing the possibility of fetal growth, reduce the risk of cesarean delivery for cephalopelvic disproportion and shoulder dystocia...
October 19, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27663913/-simulation-benefits-in-obstetrical-emergency-which-proof-level
#5
P Raynal
Simulation in obstetrical emergency is in expansion. The important economic and human cost in simulation needs a real evaluation about enhancement in technical and non-technical skills, maternal and neonatal morbidity and mortality. We present a literature review of the results published on the subject in shoulder dystocia, post-partum haemorrhage, eclampsia and cord prolaps with a selection of publications with high evidence level or positive impact of training on obstetrical emergencies. There are few publications with a positive impact of training on obstetrical emergencies...
September 20, 2016: Gynécologie, Obstétrique & Fertilité
https://www.readbyqxmd.com/read/27612080/serial-casting-for-elbow-flexion-contractures-in-neonatal-brachial-plexus-palsy
#6
B J Duijnisveld, D Steenbeek, R G H H Nelissen
PURPOSE: The objective of this study was to evaluate the effectiveness of serial casting of elbow flexion contractures in neonatal brachial plexus palsy. METHODS: A prospective consecutive cohort study was performed with a median follow-up of 5 years. Forty-one patients with elbow flexion contractures ≥ 30° were treated with serial casting until the contracture was ≤ 10°, for a maximum of 8 weeks. Range of motion, number of recurrences and patient satisfaction were recorded and analyzed using Wilcoxon signed-rank and Cox regression tests...
September 2, 2016: Journal of Pediatric Rehabilitation Medicine
https://www.readbyqxmd.com/read/27606502/non-sedated-rapid-volumetric-proton-density-mri-predicts-neonatal-brachial-plexus-birth-palsy-functional-outcome
#7
Peter Y Shen, Anna E Nidecker, Ethan A Neufeld, Paul S Lee, Michelle A James, Andrea S Bauer
BACKGROUND AND PURPOSE: The current prognostic biomarker of functional outcome in brachial plexus birth palsy is serial clinical examination throughout the first 6 months of age. This can delay surgical treatment and prolong parental anxiety in neonates who will recover spontaneously. A potentially superior biomarker is a volumetric proton density MRI performed at clinical presentation and within the first 12 weeks of life, providing a high spatial and contrast resolution examination in 4 minutes...
September 8, 2016: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
https://www.readbyqxmd.com/read/27594149/culturing-schwann-cells-from-neonatal-rats-by-improved-enzyme-digestion-combined-with-explants-culture-method
#8
Di Liu, Xiao-Chun Liang, Hong Zhang
Objective To develop an improved method for culturing Schwann cells(SCs) by using both enzyme digestion and explants-culture approaches and compared with traditional explants-culture method and general hemi-explants-culture method. Methods Bilaterally sciatic nerves and brachial plexus nerves were dissected from 3 to 5-day-old neonatal SD rats and explants-culture method,general hemi-explants-culture method,and improved enzyme digestion combined with explants-culture method were adopted to culture SCs,respectively...
August 2016: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/27519824/health-related-quality-of-life-components-in-children-with-neonatal-brachial-plexus-palsy-a-qualitative-study
#9
Kate W-C Chang, Amy Austin, Jan Yeaman, Lauren Phillips, Anna Kratz, Lynda J-S Yang, Noelle E Carlozzi
BACKGROUND: Currently, no published, validated patient reported outcome (PRO) measures of health-related quality of life (HRQOL) exist for use with neonatal brachial plexus palsy (NBPP). NBPP is a debilitating condition occurring during the perinatal period resulting in paralysis/paresis and loss of sensation in the affected arm. Commonly used NBPP measures are not comprehensive and do not fully account for clinically meaningful changes in function or progression of the disorder. OBJECTIVE: To evaluate important components of HRQOL for children with NBPP and identify where new PRO measures are needed...
August 9, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27473649/neonatal-brachial-plexus-palsy-in-children-aged-0-to-2-5%C3%A2-years-parent-perceived-family-impact-quality-of-life-and-upper-extremity-functioning
#10
Menno van der Holst, Duco Steenbeek, Willem Pondaag, Rob G H H Nelissen, Thea P M Vliet Vlieland
BACKGROUND: To investigate whether parents perceive impact of neonatal brachial plexus palsy on family and quality of life and upper extremity functioning in children less than 2.5 years. METHODS: This cross-sectional study used the PedsQL Family Impact Module (36 items/one total/four scales/scores 0 to 100), TNO-AZL (Dutch Organisation of Applied Natural Science and Academic Hospital Leiden) Preschool Children Quality of Life (43 items/12 scales/scores 0 to 100) and 21 upper extremity functioning questions...
September 2016: Pediatric Neurology
https://www.readbyqxmd.com/read/27472147/vacuum-extraction-in-fetal-macrosomia-and-risk-of-neonatal-complications-a-population-based-cohort-study
#11
Katarina Åberg, Mikael Norman, Karin Pettersson, Cecilia Ekéus
INTRODUCTION: High birthweight is associated with complicated childbirth. The aim of the present study was to investigate the association between birthweight, mode of delivery, and neonatal complications among infants born at term with a birthweight ≥3000 g. MATERIAL AND METHODS: This population-based cohort study used data from the Swedish Medical Birth Register from 1999 to 2012, including 1 030 775 births at >36 completed weeks. Exposure was mode of delivery, categorized into non-instrumental vaginal delivery (VD), emergency cesarean section (CS), vacuum extraction (VE) or cesarean section following attempted vacuum extraction (VE + CS), and birthweight was divided into five categories (3000-3999 g, 4000-4499 g, 4500-4999 g, and ≥5000 g)...
October 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27446617/long-standing-motor-and-sensory-recovery-following-acute-fibrin-sealant-based-neonatal-sciatic-nerve-repair
#12
Natalia Perussi Biscola, Luciana Politti Cartarozzi, Rui Seabra Ferreira Junior, Benedito Barraviera, Alexandre Leite Rodrigues de Oliveira
Brachial plexus lesion results in loss of motor and sensory function, being more harmful in the neonate. Therefore, this study evaluated neuroprotection and regeneration after neonatal peripheral nerve coaptation with fibrin sealant. Thus, P2 neonatal Lewis rats were divided into three groups: AX: sciatic nerve axotomy (SNA) without treatment; AX+FS: SNA followed by end-to-end coaptation with fibrin sealant derived from snake venom; AX+CFS: SNA followed by end-to-end coaptation with commercial fibrin sealant...
2016: Neural Plasticity
https://www.readbyqxmd.com/read/27318182/shoulder-dystocia-guidelines-for-clinical-practice-from-the-french-college-of-gynecologists-and-obstetricians-cngof
#13
REVIEW
Loïc Sentilhes, Marie-Victoire Sénat, Anne-Isabelle Boulogne, Catherine Deneux-Tharaux, Florent Fuchs, Guillaume Legendre, Camille Le Ray, Emmanuel Lopez, Thomas Schmitz, Véronique Lejeune-Saada
Shoulder dystocia (SD) is defined as a vaginal delivery in cephalic presentation that requires additional obstetric maneuvers to deliver the fetus after the head has delivered and gentle traction has failed. It complicates 0.5-1% of vaginal deliveries. Risks of brachial plexus birth injury (level of evidence [LE]3), clavicle and humeral fracture (LE3), perinatal asphyxia (LE2), hypoxic-ischemic encephalopathy (LE3) and perinatal mortality (LE2) increase with SD. Its main risk factors are previous SD and macrosomia, but both are poorly predictive; 50-70% of SD cases occur in their absence, and most deliveries when they are present do not result in SD...
August 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27271862/persistence-of-neonatal-brachial-plexus-palsy-associated-with-maternally-reported-route-of-delivery-review-of-387-cases-podcast
#14
(no author information available yet)
No abstract text is available yet for this article.
June 6, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27239889/outcome-of-secondary-shoulder-surgery-in-children-with-neonatal-brachial-plexus-palsy-with-and-without-nerve-surgery-treatment-history-a-long-term-follow-up-study
#15
Menno van der Holst, C W P Gerco van der Wal, Ron Wolterbeek, Willem Pondaag, Thea P M Vliet Vlieland, Rob G H H Nelissen
OBJECTIVE: Irrespective of treatment history, shoulder dysfunction may occur in children with neonatal brachial plexus palsy. Following internal contracture release and/or muscle tendon transfer (ICR/MTT) shoulder function gain is possible. This study describes the outcomes of ICR/MTT for children with neonatal brachial plexus palsy, with or without prior nerve surgery (a group with prior nerve surgery and a group without prior nerve surgery). PATIENTS AND METHODS: The study included children who underwent an ICR/MTT with a minimum follow-up of 6 months...
July 18, 2016: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/27208913/induction-of-labour-at-or-near-term-for-suspected-fetal-macrosomia
#16
REVIEW
Michel Boulvain, Olivier Irion, Therese Dowswell, Jim G Thornton
BACKGROUND: Women with a suspected large-for-dates fetus or a fetus with suspected macrosomia (birthweight greater than 4000 g) are at risk of operative birth or caesarean section. The baby is also at increased risk of shoulder dystocia and trauma, in particular fractures and brachial plexus injury. Induction of labour may reduce these risks by decreasing the birthweight, but may also lead to longer labours and an increased risk of caesarean section. OBJECTIVES: To assess the effects of a policy of labour induction at or shortly before term (37 to 40 weeks) for suspected fetal macrosomia on the way of giving birth and maternal or perinatal morbidity...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27191660/interrater-reliability-of-electrodiagnosis-in-neonatal-brachial-plexopathy
#17
Mary Catherine Spires, Spencer M Brown, Kate Wan-Chu Chang, James A Leonard, Lynda J-S Yang
INTRODUCTION: We investigated interrater reliability of overall assessment of nerve root lesions by electrodiagnostic testing (EDX) in neonatal brachial plexus palsy (NBPP). METHODS: Two blinded, board-certified reviewers retrospectively reviewed de-identified EDX data from 37 infants with NBPP for 2005-2012. Only nerve conduction and electromyography needle data were included. The examiners independently assigned 1 of 4 nerve root lesion categories: 1) normal, pre-ganglionic lesion (avulsion), 2) post-ganglionic lesion (rupture), 3) normal, or 4) "unable to determine...
May 18, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27179536/the-current-role-of-diagnostic-imaging-in-the-preoperative-workup-for-refractory-neonatal-brachial-plexus-palsy
#18
REVIEW
Deepak K Somashekar, Thomas J Wilson, Michael A DiPietro, Jacob R Joseph, Mohannad Ibrahim, Lynda J-S Yang, Hemant A Parmar
INTRODUCTION: Despite recent improvements in perinatal care, the incidence of neonatal brachial plexus palsy (NBPP) remains relatively common. CT myelography is currently considered to be the optimal imaging modality for evaluating nerve root integrity. Recent improvements in MRI techniques have made it an attractive alternative to evaluate nerve root avulsions (preganglionic injuries). AIM: We demonstrate the utility of MRI for the evaluation of normal and avulsed spinal nerve roots...
August 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26969239/hand-sensorimotor-function-in-older-children-with-neonatal-brachial-plexus-palsy
#19
Susan H Brown, Cory W Wernimont, Lauren Phillips, Kathy L Kern, Virginia S Nelson, Lynda J S Yang
BACKGROUND: Routine sensory assessments in neonatal brachial plexus palsy are infrequently performed because it is generally assumed that sensory recovery exceeds motor recovery. However, studies examining sensory function in neonatal brachial plexus palsy have produced equivocal findings. The purpose of this study was to examine hand sensorimotor function in older children with neonatal brachial plexus palsy using standard clinical and research-based measures of tactile sensibility. METHODS: Seventeen children with neonatal brachial plexus palsy (mean age: 11...
March 2016: Pediatric Neurology
https://www.readbyqxmd.com/read/26965909/erratum-to-utility-of-ultrasound-in-noninvasive-preoperative-workup-of-neonatal-brachial-plexus-palsy
#20
Deepak K Somashekar, Michael A Di Pietro, Jacob R Joseph, Lynda J-S Yang, Hemant A Parmar
No abstract text is available yet for this article.
April 2016: Pediatric Radiology
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