Frequently asked questions about maternal palsy

  1.Why does birth paralysis occur?  Childbirth is one of the normal physiological activities of human beings. When a fetus is delivered through a narrow birth canal, there is a risk of nerve damage when the young body is squeezed during the process, and the incidence of birth palsy is about 1 in 1,000. The risk is higher when there is a large fetus, malposition, or forceps assisted delivery. This accident cannot be completely avoided, and birth palsy can occur even during a cesarean section. Labor paralysis is a natural phenomenon that exists not only in humans but also in the mammalian world. It often leads to medical proceedings. Since the treatment period is very long and costly, the state should improve the social welfare mechanism to give the affected children help in life and treatment.  2. How to treat?  It is comforting to know that most cases of birth palsy do not require special treatment and can recover most of their functions on their own.  However, how to distinguish what can be recovered and what cannot? According to the experience of previous patients, those who recover the muscle strength of the flexor elbow within 3 months can be regarded as those who have a high hope of recovery and can continue to be observed conservatively. For those who still have not recovered muscle strength in 3 months, early surgical exploration and repair is recommended. This includes nerve grafting, transposition, etc. Most of the final results of treatment are satisfactory and can restore most of the functions. Very few very severe injuries will leave significant sequelae.  That said, it is fine to see a doctor at 3 months of age. However, it is important to keep detailed records of the previous movement and recovery of each joint.  Surgery is very individualized. Each person’s condition is different and so is the surgery. The cost is around 10-20,000 RMB.  3.What do I need to do during observation?  It is very important to help the child to move each joint passively to avoid joint contracture. In particular, it is important to do external rotation of the shoulder joint and rotation of the forearm.  In addition, we should carefully observe the recovery of each joint movement and communicate with the doctor in a timely manner.  4.Do I need other treatment?  Medication, electrical stimulation, acupuncture, etc. are not recommended for infants and children. Personally, I think these treatments have no substantial effect and may cause damage to the infant.  5.Can I still operate when the child is already grown up?  Some children who have not undergone formal treatment often have shoulder and elbow joint dysfunction, claw hand deformity, etc.  Depending on the dysfunction, you can choose the appropriate surgery to treat it and be able to make improvements. As with any injury, the results of treatment are hardly comparable to normal.