TY - JOUR T1 - Incidence of obstetric brachial plexus palsy after a training program in shoulder dystocia JO - Anales de Pediatría (English Edition) T2 - AU - Salvador López,Rita AU - Cruz Melguizo,Sara AU - Sanz Lorenzana,Amelia AU - Diez de los Rios Quintanero,Blanca AU - Malalana Martinez,Ana AU - de la Cruz Conty,Maria Luisa AU - Martínez Pérez,Oscar SN - 23412879 M3 - 10.1016/j.anpede.2022.06.011 DO - 10.1016/j.anpede.2022.06.011 UR - https://analesdepediatria.org/en-incidence-obstetric-brachial-plexus-palsy-articulo-S2341287922002137 AB - IntroductionShoulder dystocia is a nonpreventable obstetric emergency that causes severe complications, such as obstetric brachial plexus palsy. The objective of the study was to determine the incidence of obstetric brachial plexus palsy and other neonatal complications associated with shoulder dystocia in deliveries managed in a university hospital after the implementation of a simulation-based training that was offered to all the labour and delivery staff on a voluntary basis. Material and methodsRetrospective observational study including all cases of shoulder dystocia and associated complications (mainly obstetric brachial plexus palsy) documented between January 2017 and December 2020, after the implementation of the training. In addition, we collected retrospective data on cases of obstetric brachial plexus palsy that developed in the hospital before the training (2008–2016). ResultsIn the 2017–2020 period, in the total of 125 cases of shoulder dystocia (amounting to 1.38% of vaginal deliveries), there were 14 cases of obstetric brachial plexus palsy (11.2% of the cases of shoulder dystocia), 7 clavicle fractures and 1 humerus fracture; none of the cases of obstetric brachial plexus palsy was permanent or required treatment or rehabilitation past six months. In the years preceding the training, there were 7 cases of obstetric brachial plexus palsy, 2 permanent and 5 temporary (3 of which required rehabilitation). ConclusionThese results reflect the importance of knowing the morbidity present in the labour and delivery ward and the potential benefit of simulation-based training programmes in the resolution of these obstetric complications. ER -