初产妇与经产妇中新生儿臂丛神经麻痹的持续情况。
Persistence of Neonatal Brachial Plexus Palsy among Nulliparous Versus Parous Women.
作者信息
McLaren Rodney A, Chang Kate W-C, Ankumah Nana-Ama E, Yang Lynda J-S, Chauhan Suneet P
机构信息
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York.
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
出版信息
AJP Rep. 2019 Jan;9(1):1-5. doi: 10.1055/s-0038-1677051. Epub 2019 Jan 4.
Our objective was to compare persistence of neonatal brachial plexus palsy (NBPP) at 1 and 2 years in children of nulliparous versus parous women. We conducted a retrospective cohort study of children diagnosed with NBPP followed at the University of Michigan, Interdisciplinary Brachial Plexus Program (UM-BPP). Self-reported demographics, delivery history, including birth weight (BW) < versus ≥ 9 lbs, and presence of shoulder dystocia (SD) were recorded. Student's -test and Chi-square test with odds ratio (OR) with 95% confidence intervals (CI) were calculated for comparisons of maternal, neonatal, and peripartum characteristics. Of 337 children with NBPP, 43% (146) were of nulliparas and 57% (191) of multiparas. At 1 year, children with persistent NBPP were similar in both groups (87% vs. 88%, aOR 1.357, 95% CI: 0.297-6.208). Persistent NBPP was not significantly different among nulliparous and multiparous women at 2 years (97% vs. 92% respectively, aOR 0.079, 95% CI: 0.006-1.050). In one of the largest cohorts of NBPP, maternal parity did not influence the likelihood of NBPP persistence at 1 and 2 years.
我们的目标是比较初产妇与经产妇的子女在1岁和2岁时新生儿臂丛神经麻痹（NBPP）的持续情况。
我们对在密歇根大学跨学科臂丛神经项目（UM - BPP）随访的被诊断为NBPP的儿童进行了一项回顾性队列研究。记录了自我报告的人口统计学特征、分娩史，包括出生体重（BW）＜与≥9磅，以及肩难产（SD）的情况。计算了学生t检验和卡方检验以及95%置信区间（CI）的比值比（OR），以比较母亲、新生儿和围产期特征。
在337例NBPP患儿中，43%（146例）为初产妇的子女，57%（191例）为经产妇的子女。在1岁时，两组中持续性NBPP患儿相似（87%对88%，校正比值比1.357，95% CI：0.297 - 6.208）。在2岁时，初产妇和经产妇中持续性NBPP无显著差异（分别为97%对92%，校正比值比0.079，95% CI：0.006 - 1.050）。
在最大的NBPP队列之一中，母亲的生育次数在1岁和2岁时并不影响NBPP持续存在的可能性。
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