We read with interest the recent publication by Eldridge and colleagues, “Recommendations
for management of neonatal brachial plexus palsy: Based on clinical review.” Eldridge
et al.
1
postulated that the incidence of neonatal brachial plexus palsy (NBPP) in Australia
could be similar to the United States and other countries at 0.13% to 0.15%. This
is a fictitious assumption, since it is based on a review article by Chauhan et al.
- Eldridge B.
- Alexander N.
- McCombe D.
Recommendations for management of neonatal brachial plexus palsy: Based on clinical
review.
J Hand Ther. 2020; (pii: S0894-1130(20)30003-X[Epub ahead of print])https://doi.org/10.1016/j.jht.2019.12.004
2
which does not include any figures for Australia. Michelotti et al.
3
reported an incidence of NBPP of 0.075% for a continuous cohort of term singleton
vaginal deliveries born in Brisbane between 2007 and 2015. The incidence for all neonates,
had Caesarean deliveries been included, would most likely be even lower considering
that Caesarean delivery is associated with a reduced incidence of NBPP.
4
Keywords
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References
- Recommendations for management of neonatal brachial plexus palsy: Based on clinical review.J Hand Ther. 2020; (pii: S0894-1130(20)30003-X[Epub ahead of print])https://doi.org/10.1016/j.jht.2019.12.004
- Neonatal Brachial Plexus Palsy: Incidence, Prevalence, and Temporal Trends.Semin Perinatol. 2014; 38: 210-218https://doi.org/10.1053/j.semperi.2014.04.007
- Impact of shoulder dystocia, stratified by type of manoeuvre, on severe neonatal outcome and maternal morbidity.Aust N Z J Obstet Gynaecol. 2018; 58 (Epub 2017 Sep 14): 298-305https://doi.org/10.1111/ajo.12718
- The Epidemiology of brachial plexus birth palsy in the United States: declining incidence and evolving risk factors.J Pediatr Orthop. 2019; 39: e134-e140
- Outcome assessment for Brachial Plexus birth injury. Results from the iPluto world-wide consensus survey.J Orthop Res. 2018; 36: 2533-2541
- Canadian OBPI working group. Primary nerve repair for obstetric brachial plexus injury: a meta-analysis.Plast Reconstr Surg. 2015; 136: 765-779https://doi.org/10.1097/PRS.0000000000001629
Article info
Publication history
Published online: March 05, 2021
Accepted:
March 1,
2021
Received in revised form:
January 6,
2021
Received:
June 7,
2020
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
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- Recommendations for management of neonatal brachial plexus palsy: Based on clinical reviewJournal of Hand TherapyVol. 33Issue 3
