Obstetric Brachial Plexus Palsy
The brachial plexus is a network of nerves from the neck that work the muscles and sensation in the arms.
Injuries to these nerves can occur during birth when the plexus is put under tension. There are different types of injuries depending on the level of pressure put on the plexus and the number of nerves involved.
It is important to handle your baby carefully and follow the advice regarding positioning and exercises. Regular physiotherapy and encouragement to use the affected arm during play and daily activities can help maximise recovery.
What causes it?
Factors associated that may contribute are:
- The shoulder becoming stuck during delivery (shoulder dystocia).
- Use of forceps and/or ventouse during delivery
- Prolonged or difficult labour
- Large birth weight
- Breech presentation
Signs and symptoms
How can I help my baby?
When should I seek advice?
Signs and symptoms
Signs include:
- Reduced active movement of the arm
- Decreased grip strength
- Difference of resting position of affected arm compared to other side
If your baby has a Brachial Plexus Birth Injury you will be referred to physiotherapy. Your baby may need an x-ray to rule out a clavicle fracture. A physiotherapist may see you on the post-natal ward to give initial advice.
How can I help my baby?
The following link will give you advice on positioning and handling.
When should I seek advice?
After discharge from hospital, you should be seen by a physiotherapist urgently. If you have any further questions, you can contact the service on 02921 847577 or via email on cav.cypphysiotherapy@wales.nhs.uk.
Further support can be found via the website Erb’s Palsy Group | Raising Awareness & Providing Support.
If you have any concerns or queries about any information above, please contact St David’s Children’s Centre on 02920 536805.
