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At this stage, it is possible to diagnose a birth injury (that is, at the first initial examination of the child).
Depending on where the nerve endings were damaged during childbirth, a decrease in sensitivity is observed in the shoulder, in the forearm, in the hand, arm, or in the entire shoulder joint. If the diagnosis sounds like Duchenne-Erb's palsy, then the shoulder will be turned inward, and the hand looks like a puppet. The child's head is tilted to the injured side. When examining the back, you can see how the scapula is displaced relative to the spine.
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When diagnosing reduced muscle tone and lack of sensitivity to touch (namely, the arm hangs, it is motionless and the child has noMoro and Robinson reflexes).
If a birth injury for some reason was not recorded immediately after childbirth, then while the child is in the hospital, he should be examined by a pediatrician and a pediatric neurologist.
In obstetric paralysis, brain damage is diagnosed. It manifests itself in the form of: tremor of the limbs, increased arousal, crying. These symptoms indicate the postponed hypoxia - an acute oxygen deficiency.
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It is necessary to find out what percentage of nerve endings are affected, and how much muscle function is lost. Mandatory studies for obstetric paralysis are: electromyography and x-rays. The child all the time - from birth to the stage of recovery - should be observed in the department of neurology.
The prognosis of treatment depends on: Degrees of damage to muscles and nerve endings; From the moment of diagnosis (immediately after birth or a few months after). If treatment is started late, then it is almost impossible to restore muscle tone. In the future, the child will suffer from atrophy of the upper limbs, muscle spasms, bone deformities during their growth by age.
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Prevention of obstetric paralysis consists in only one thing - in the competent professional management of childbirth. Obstetric paralysis is a flaccid paralysis of the upper limb that occurs in a child during childbirth due to damage to the brachial plexus. Obstetric paralysis is manifested by a decrease in mobility and tone in the affected arm, a violation of local thermoregulation and sensitivity.