Zeitschrift für Physiotherapie und körperliche Rehabilitation

Prevalence of Erb’s Palsy due to Shoulder Dystocia in Multan

Abstract

Noureen Mazhar, Mohtsim Shah, Shahbaz Basheer, Sumaira Sattar, Asma Zia Bukhari and Labeeb Ahmad

Background: This study aims to provide a systematic review of scientific literature on the prevalence of Erb’s Palsy in shoulder dystocia. Shoulder dystocia is defined as an impaction of the anterior shoulder against the maternal symphysis pubis after the fetus has birthed, and occurs when the breadth of shoulder exceeds the diameter of the pelvic inlet.

Purpose of the study: The object of the study was to determine the frequency of Erb’s Palsy in shoulder dystocia and develop some guidelines to reduce the risk of Erb’s Palsy in new-born babies.

Methodology: This was a cross-sectional study. Data was collected in Bakhtawar Amin Hospital and Children Hospital, Multan. Non-Probability purposive sampling technique was used to collect the data. The sample size was 62.

Results: The frequency of shoulder dystocia was highest in 30 years of age group which was 17.7% & was lowest in 35 years of age group which was 3.2%. 61.3% of cases have a breech presentation with shoulder dystocia & 38.7% shoulder dystocia cases had vertex presentation. The relation between shoulder dystocia and C-section was significant. 4.8% of cases with shoulder dystocia had C-section and 95.2% cases had normal vaginal delivery. 14.5% of the shoulder dystocia cases had no significant disease. The relation between Shoulder dystocia and obesity was very significant. 45.2% cases had maternal obesity followed by hypertension and viral infection with percentages 33.9% and 6.5% respectively. 14.5% of shoulder dystocia cases had no significant complication during pregnancy. 53.2% Shoulder dystocia cases had pre-eclampsia is a complication that is very significant followed by lowest complication placenta previa having 9.7% cases. 22.6% of cases had gestational diabetes as well. The relation between overweight and shoulder dystocia was significant having 79% cases. Interestingly our study shows that 21% of cases had normal fetal weight. The relation between overweight & shoulder dystocia was significant having 79% cases. Interestingly our study shows that 21% of cases had normal fetal weight.

Conclusion: Our study indicates that 82.3% cases of shoulder Dystocia had Erb’s palsy that is alarming situation.)