Intrinsic Obstetric Palsy: Case Report and Literature Review

Maternal neurological injuries may be intrinsic to the labour and delivery process or may result directly or indirectly from obstetric or anaesthetic intervention. This intrinsic obstetric palsy is a rare complication of labour but can have devastating impact on a previously healthy mother. A 23-y...

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Main Authors: Rashida Hakeem, Cliff Neppe
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/7693/18797_CE(RA1)_F(T)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdf
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author Rashida Hakeem
Cliff Neppe
author_facet Rashida Hakeem
Cliff Neppe
author_sort Rashida Hakeem
collection DOAJ
description Maternal neurological injuries may be intrinsic to the labour and delivery process or may result directly or indirectly from obstetric or anaesthetic intervention. This intrinsic obstetric palsy is a rare complication of labour but can have devastating impact on a previously healthy mother. A 23-year-old gravida1, para0 who had epidural for labour analgesia, was augmented for slow progress and had a normal vaginal delivery. She was diagnosed post delivery with intrinsic obstetric palsy involving several peripheral nerves and lumbosacral nerve roots with a guarded prognosis. In this article we have discussed the risk factors and mechanisms of intrinsic obstetric palsy and proposed further investigation into the potential protective role of ambulatory analgesia i.e. CSE (Combined Spinal Epidural) or LDI (Low Dose Infusion).
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spelling doaj.art-4023f166c24c44348978bc87639d69cd2022-12-22T03:25:29ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-04-01104QD06QD0710.7860/JCDR/2016/18797.7693Intrinsic Obstetric Palsy: Case Report and Literature ReviewRashida Hakeem0Cliff Neppe1CMO, Department of Obstetrics & Gynaecology, Joondalup Health Campus, Joondalup WA Australia.Director, Department of Obstetrics & Gynaecology, Joondalup Health Campus, Joondalup WA Australia.Maternal neurological injuries may be intrinsic to the labour and delivery process or may result directly or indirectly from obstetric or anaesthetic intervention. This intrinsic obstetric palsy is a rare complication of labour but can have devastating impact on a previously healthy mother. A 23-year-old gravida1, para0 who had epidural for labour analgesia, was augmented for slow progress and had a normal vaginal delivery. She was diagnosed post delivery with intrinsic obstetric palsy involving several peripheral nerves and lumbosacral nerve roots with a guarded prognosis. In this article we have discussed the risk factors and mechanisms of intrinsic obstetric palsy and proposed further investigation into the potential protective role of ambulatory analgesia i.e. CSE (Combined Spinal Epidural) or LDI (Low Dose Infusion).https://jcdr.net/articles/PDF/7693/18797_CE(RA1)_F(T)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdfambulatory analgesiacombined spinal epiduralepidurallow dose infusionpostpartum
spellingShingle Rashida Hakeem
Cliff Neppe
Intrinsic Obstetric Palsy: Case Report and Literature Review
Journal of Clinical and Diagnostic Research
ambulatory analgesia
combined spinal epidural
epidural
low dose infusion
postpartum
title Intrinsic Obstetric Palsy: Case Report and Literature Review
title_full Intrinsic Obstetric Palsy: Case Report and Literature Review
title_fullStr Intrinsic Obstetric Palsy: Case Report and Literature Review
title_full_unstemmed Intrinsic Obstetric Palsy: Case Report and Literature Review
title_short Intrinsic Obstetric Palsy: Case Report and Literature Review
title_sort intrinsic obstetric palsy case report and literature review
topic ambulatory analgesia
combined spinal epidural
epidural
low dose infusion
postpartum
url https://jcdr.net/articles/PDF/7693/18797_CE(RA1)_F(T)_PF1(RSAK)_PFA(AK)_PF2(PAG).pdf
work_keys_str_mv AT rashidahakeem intrinsicobstetricpalsycasereportandliteraturereview
AT cliffneppe intrinsicobstetricpalsycasereportandliteraturereview