Intrinsic Obstetric Palsy: Case Report and Literature Review
Published: April 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7693
Rashida Hakeem, Cliff Neppe
1. CMO, Department of Obstetrics & Gynaecology, Joondalup Health Campus, Joondalup WA Australia.
2. Director, Department of Obstetrics & Gynaecology, Joondalup Health Campus, Joondalup WA Australia.
Correspondence
Dr. Rashida Hakeem,
102/ 215 Stirling Street, Perth WA 6000
E-mail: dr.rashida.hakeem@gmail.com
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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