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The information provided in this article is for informational purposes only and cannot replace professional advice and qualified medical assistance. At the slightest suspicion that the child has this disease, be sure to consult a doctor! Factors of formation of obstetric paralysis and the main signs of pathology.

Postpartum paresis or obstetric paralysis are injuries associated with labor. Not always their cause is the wrong provision of medical care, some factors cannot be corrected in advance. There are approximately 2 cases of paresis per 1000 newborns. Until now, this problem cannot be solved medically.

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Causes and preconditions of paralysis.Unlike paralysis, obstetric paresis is accompanied by a weakening of muscle function. In paralysis, whether temporary or permanent, the patient suffers from a complete loss of Toradol of an arm or leg, sometimes of the entire body. The body of a newborn is very fragile, any wrong movement can injure. Even very careful preparation for childbirth and the choice of a good clinic does not guarantee that a birth injury will not occur, which will lead to obstetric paresis. You can get such an injury not only during natural childbirth, but Ketorolac during caesarean section. Some factors that cause paralysis depend on the size of the fetus, the characteristics of its position inside the uterus.

The individual characteristics of the child affect the risk: the strength of the muscular frame and bones, the date of birth. There are factors that can provoke obstetric paresis or paralysis: narrow pelvis or discrepancy between its size and the parameters of the fetus; the weight of the child exceeding 4 kg; incorrect position (legs forward, angle); protracted delivery process - difficult childbirth that requires special tools and the use of dangerous methods (turning the fetus inside the womb, using a vacuum extractor).

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Due to one or more reasons, the baby turns during birth so that its head or upper limbs (less often lower ones) get stuck in the birth canal. Fragile bones and muscles are strongly compressed by maternal bones, which causes nerves to be pinched. All this leads to impaired blood circulation, and obstetric paresis becomes one of the consequences.

Sometimes the degree of damage to the nerve roots is so high that they completely stop working, paralysis develops. Most often, paresis of the hand occurs in a newborn, involving muscles in the process: deltoid, brachioradial, triceps, small round and anterior dentate. Forms of neurological damage.

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Doctors distinguish 3 forms of obstetric paralysis and paresis. Classification is necessary to determine the severity of the pathology: Top type.

The most common form of neurological disorder, in which there is paralysis of the muscles of the shoulder girdle and joints. Noticeable by the fact that the arm hangs without tone, only the hand moves. Bottom type. Occurs in about 1 in 10 cases. Paralysis damages the hands, forearms. Mixed type. It occurs in 30% of cases, with obstetric paralysis, there are completely no movements along the entire limb - from the hand to the shoulder.

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The last type of the disease belongs to the most severe forms. The stages of development of obstetric paresis are also distinguished: an acute period that occurs up to 1 month, an early period that develops up to 1 year, a late recovery period up to the age of 3 years and residual effects. Symptoms of Ketorolac disorder.

Symptoms of obstetric paresis depend on the form of toradol. Upper, or proximal paralysis, belonging to the group of the most common, also has the name Duchenne-Erba. Symptoms of this disorder: the work of the shoulder girdle and forearm is disrupted; completely absent movement in the elbow; the injured arm simply lies along the body, all joints are extended; movement is partially or completely preserved in the fingers; on examination, muscular hypotonia and a significant weakening of tendon reflexes are detected; with paralysis, unconditioned reflexes are absent, and with obstetric paresis they are strongly depressed.

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In the first days of life, it is almost impossible to recognize paralysis, even if the doctor conducts a thorough examination.

Assessment

Important! To make a diagnosis, it is necessary to distinguish paresis from such serious disorders as: osteomyelitis, clavicle fracture, hemihypoplasia, poliomyelitis, Parrot's syndrome.

The danger of upper paresis may be associated with damage to the nerve located in the diaphragmatic region. Because of this, paralysis of the diaphragm occurs, accompanied by the impossibility of normal breathing: rhythm, frequency are disturbed, lung capacity decreases, the chest moves asymmetrically.

Distal obstetric paralysis or paresis affects the muscles of the hand and fingers. You can recognize the pathology by the special position of the hand, it becomes like a clawed paw. With complete immobility of the muscle fibers, a drooping of the palm is found.

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The movements characteristic of healthy children are completely absent: active movement of the wrist joint, phalanges, elbows. At the same time, the activity of the shoulder joints is completely preserved. Also, paralysis, which is called Dejerine-Klumpke, may include damage to the cervical sympathetic muscles.

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