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Iran J Neurosurg 2025, 11 - Continuous Publishing: 0-0 |
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Ethics code: IR.GUMS.REC.1402.602
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Hosseinzadeh F, Rezaee S, Ghalandari M, faraji Darkhane R, Emamhadi M, Yousefzadeh-Chabok S. Trend of Brachial Plexus Birth Paralysis Incidence in North Iran: An 11-year Analytic Study. Iran J Neurosurg 2025; 11 : 30
URL: http://irjns.org/article-1-508-en.html
URL: http://irjns.org/article-1-508-en.html
Fatemeh Hosseinzadeh *1 
, Sahel Rezaee2 , Maryam Ghalandari3 , Roya Faraji Darkhane1 , Mohammadreza Emamhadi4 , Shahrokh Yousefzadeh-Chabok5
, Sahel Rezaee2 , Maryam Ghalandari3 , Roya Faraji Darkhane1 , Mohammadreza Emamhadi4 , Shahrokh Yousefzadeh-Chabok5
1- Department of Obstetrics and Gynecology, Reproductive Health Research Center, School of Medicine, Al-Zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran.
3- Vice-Chancellorship of Research and Technology, Guilan University of Medical Sciences, Rasht, Iran.
4- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
5- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran. & Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
2- Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran.
3- Vice-Chancellorship of Research and Technology, Guilan University of Medical Sciences, Rasht, Iran.
4- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
5- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran. & Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (16 Views)
Background and Aim: Newborns with brachial plexus birth paralysis (BPBP) impose a heavy burden on their families. Given the importance of awareness of its incidence, our main goal was to assess changes in its trend. Also, this study aimed to evaluate the correlation between BPBP trends and the policy aiming at increasing rates of vaginal delivery (VD) (2018).
Methods and Materials/Patients: This analytic cross-sectional study was conducted among patients with BPBP born at Al-Zahra Hospital, the Main Center of Obstetrics in Rasht City, Iran, between 2013 and 2023. Descriptive statistics were used to examine the patients’ demographic and clinical characteristics. The results were analyzed using SPSS software, version 26.
Results: Over 11 years, 41617 live births occurred. Our study revealed a BPBP incidence of 1.54 cases per 1000 live births during this period. Of these, 33 newborns (51.6%) were male. In our study, the Joinpoint regression analysis showed that the incidence of BPBP increased throughout the study period (P<0.05). Also, there was no significant change in the rising trend of BPBP at the time the established policy aimed at increasing VD rates. In fact, the policy had no significant impact on the trend of BPBP. Moreover, there were no instrumental deliveries among the patients, despite the increasing trend of this injury. Only 10.9% of the patients with BPBP had a clavicle fracture after birth. There was no humerus fracture among all the patients. Also, only 11.5% of the cases had shoulder dystocia in our study.
Conclusion: The findings indicate that the incidence of BPBP increased over the 11 years. Our study highlighted that the policy aimed at increasing VD rates did not significantly affect BPBP rate. Therefore, enhanced training for early-career obstetricians and improved preventive strategies are recommended.
Methods and Materials/Patients: This analytic cross-sectional study was conducted among patients with BPBP born at Al-Zahra Hospital, the Main Center of Obstetrics in Rasht City, Iran, between 2013 and 2023. Descriptive statistics were used to examine the patients’ demographic and clinical characteristics. The results were analyzed using SPSS software, version 26.
Results: Over 11 years, 41617 live births occurred. Our study revealed a BPBP incidence of 1.54 cases per 1000 live births during this period. Of these, 33 newborns (51.6%) were male. In our study, the Joinpoint regression analysis showed that the incidence of BPBP increased throughout the study period (P<0.05). Also, there was no significant change in the rising trend of BPBP at the time the established policy aimed at increasing VD rates. In fact, the policy had no significant impact on the trend of BPBP. Moreover, there were no instrumental deliveries among the patients, despite the increasing trend of this injury. Only 10.9% of the patients with BPBP had a clavicle fracture after birth. There was no humerus fracture among all the patients. Also, only 11.5% of the cases had shoulder dystocia in our study.
Conclusion: The findings indicate that the incidence of BPBP increased over the 11 years. Our study highlighted that the policy aimed at increasing VD rates did not significantly affect BPBP rate. Therefore, enhanced training for early-career obstetricians and improved preventive strategies are recommended.
Article number: 30
Type of Study: Research |
Subject:
Peripheral nervous system
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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