Key result
Having a child undergo surgery for obstetrical brachial plexus injury was significantly associated with a higher total family impact score (P=0.020) compared to no surgery.
Cross-Sectional (n=38)
No
Having a child with OBPI has a significant long-term impact on the family, with surgical intervention predicting higher family impact scores.
O bstetrical brachial plexus injury (OBPI) results from lateral torsion to the neck or direct traction to the upper extremity during birth. Approximately 1.6 to 2.9 per 1000 infants sustain an OBPI (1), with risk factors including birth weight >4000 g, shoulder dystocia, multiparity, prolonged labour, assisted delivery, maternal diabetes and breech presentation (2,3). The Narakas system classifies OBPI according to nerve injury severity, from least severe Narakas level I (C5-C6 lesion) to most severe Narakas level IV (C5-T1 lesion with Horner's sign) (4).
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DeMatteo et al. (2014) conducted a cross-sectional in Obstetrical brachial plexus injury (n=38). Child undergoing primary nerve surgery for OBPI vs. No surgery was evaluated on Impact on Family Scale (IoFS) total impact score (p=0.020). Having a child undergo surgery for obstetrical brachial plexus injury was significantly associated with a higher total family impact score (P=0.020) compared to no surgery.
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