Aim: To provide a comprehensive update on the most prevalent, significant risk factors for neonatal brachial plexus palsy NBPP. Studies assessing risk factors of NBPP in relation to typically developing comparison individuals were included. Reporting bias and quality of evidence was rated. In addition, we assessed the incidence of NBPP. Results: Twenty-two observational studies with a total sample size of 29 live births were selected. Significant risk factors included shoulder dystocia OR
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Aim: To provide a comprehensive update on the most prevalent, significant risk factors for neonatal brachial plexus palsy NBPP.
Studies assessing risk factors of NBPP in relation to typically developing comparison individuals were included.
Reporting bias and quality of evidence was rated. In addition, we assessed the incidence of NBPP. Results: Twenty-two observational studies with a total sample size of 29 live births were selected.
Significant risk factors included shoulder dystocia OR Caesarean section appeared as a protective factor OR 0. The pooled overall incidence of NBPP was 1. It has decreased in recent years. Shoulder dystocia, macrosomia, maternal diabetes, instrumental delivery, and breech delivery are risk factors for NBPP. Caesarean section appears as a protective factor. What this paper adds: The overall incidence of neonatal brachial plexus palsy is 1.
The incidence has declined significantly. Shoulder dystocia, macrosomia, maternal diabetes, instrumental delivery, and breech delivery are the main risk factors.
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Risk Factors for Neonatal Brachial Plexus Palsy: A Systematic Review and Meta-Analysis
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