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Journal of Tropical Pediatrics 1991 37(6):327-330; doi:10.1093/tropej/37.6.327
© 1991 by Oxford University Press
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brief-report

Brachial Plexus Injuries in Malaysian Neonates: Incidence and Associated Risk Factors

N. Y. Boo, MRCP, FRCP (Edin & Glasg), Faculty of Medicine*, M. S. Lye, MBBS, MPH, DR PH, Faculty of Medicine**, M. Kanchanamala, MRCP* and C. L. Ching, BSc Hon**

*Division of Neonatology, Department of Paediatrics, National University of Malaysia Jalan Raja Muda, 50300 Kuala Lumpur, Malaysia
**Department of Biostatistics and Epidemiology, Institute of Medical Research Kuala Lumpur, Malaysia

A prospective study was carried out on 26 176 Malaysian neonates born in the Maternity Hospital, Kuala Lumpur over a 12-month period to determine the incidence and associated risk factors of brachial plexus injuries. This condition was found in 42/26 176 neonates (1.6 per 1000 livebirths). Multiple logistic regression analysis of affected and control neonates from a nested case-control study showed that increasing birth weights and breech deliveries were the significant risk factors. Our study suggests that to reduce the occurrence of this condition, there is a need for: (i) better assessment of fetal size and maternal pelvimetry to enable earlier diagnosis of cephalo-pelvic disproportion, and (ii) review of the indications and techniques of breech delivery.


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