[Retrospective study of 33 cases of XXXX of the brachial plexus].

@entity1 @entity9574 @entity1266 @entity1017 @entity1162 @entity56118
Thirty-three cases of @entity56118 of the brachial plexus have been seen in 15 years in the gynaecological and obstetrical department of the University Hospital Piti   @entity9574  tri  re. The authors, from studying these cases, work out the factors that tend to bring about this pathological condition. They are: multiparity, excessive @entity1017 in pregnancy, fetal excessive growth, @entity1162 , instrumental delivery and @entity1266 in cephalic presentations. In breech presentations it is mainly faulty performance of the manoeuvres that are needed to deliver the shoulders. These lesions involve, in most cases, the roots of C5 and C6. Spontaneous regression occurs very often. The authors have found 25% of sequellae. It is difficult to prevent @entity1266 . It consists in realising well the size of the fetus and using instruments really sensibly when the presenting part is high in a primiparous @entity1 . In a multiparous @entity1 one has to be on the look-out for increasing macrosomia of the fetus and it is important to teach the manoeuvres that are necessary to deal with @entity1266 . As far as breech delivery is concerned the major risk is the delivery itself without there being any need for fetal or maternal criteria to alter matters. Therefore prevention in this presentation has to be the presence of a competent obstetrician at each delivery always.
