Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital

IF 1.3 Q2 Social Sciences

International Quarterly of Community Health Education Pub Date : 2020-07-01 DOI:10.1177/0272684X19883523

A. Nayak, A. D'Souza, A. Bhat, Arati P Rao, A. Acharya

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引用次数: 1

Abstract

A cross-sectional study was conducted using a validated and standardized questionnaire answered by willing pediatricians and obstetricians at our university teaching hospitals. Nearly two thirds of the pediatricians (62.8%) and three fourths of the obstetricians (73.6%) continued to accept the terminology of obstetric brachial plexus birth palsy which is a misnomer; 32.6% of pediatricians felt that they were unaware of the current trends in its management. Parental reluctance (23.5%) and inadequate knowledge in current approaches among surgeons and pediatricians (41.2%) were suggested as chief causes for the delay in their adequate referral and management using surgical exploration, nerve grafting, and nerve transfer. The delayed presentations of birth brachial plexus injuries with missed opportunity for optimum treatment can be partly attributed to inadequate information available on definitive guidelines in its management among the stakeholders including parents, primary care physicians, and surgeons.

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早期转诊和手术干预在臂丛出生性麻痹中的作用：教学医院产科和儿科医生的意识

横断面研究采用一份经过验证和标准化的问卷进行，问卷由我们大学教学医院的儿科医生和产科医生自愿回答。近三分之二的儿科医生(62.8%)和四分之三的产科医生(73.6%)继续接受产科臂丛分娩性麻痹的术语，这是一个误称;32.6%的儿科医生认为他们不了解其管理的当前趋势。父母的不情愿(23.5%)和外科医生和儿科医生对现有方法的了解不足(41.2%)被认为是延迟他们充分转诊和处理手术探查、神经移植和神经转移的主要原因。出生后臂丛神经损伤延迟出现，错失最佳治疗机会，部分原因是包括家长、初级保健医生和外科医生在内的利益相关者在其管理方面缺乏明确的指导方针。

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来源期刊

International Quarterly of Community Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： The International Quarterly of Community Health Education is committed to publishing applied research, policy and case studies dealing with community health education and its relationship to social change. Since 1981, this rigorously peer-referred Journal has contained a wide selection of material in readable style and format by contributors who are not only authorities in their field, but can also write with vigor, clarity, and occasionally with humor. Since its introduction the Journal has considered all manuscripts, especially encouraging stimulating articles which manage to combine maximum readability with scholarly standards.