Erbs palsy cause

1. Causes of
Erb's Palsy
(Brachial Plexus Birth Palsy)
Presented By
Ahmad shurbaji
Under supervision of
Prof. Dr. Mona El Sobky

2. Bending or
stretching of the
neck in a direction
away from the side
of injury.
Mechanism of
injury

3. Causes /Risk
Factor

4. Neonatal
causes
 Large birth weight > 4 kg.
 Breech fetal position.
 Low APGAR score at 1 min, 5 min & 10 min.
 Congenital anomalies.

5. Maternal
causes
 Age > 35 years.
 Cephalo-Pelvic disproportion.
 Gestational diabetes mellitus macrosomia
 Post date gestation.
 Previous baby with brachial plexus palsy.

6. Labour related
causes
 Shoulder dystocia.
 Increased duration of the 2nd stage of labor (>
60 min).
 Induction of labour ( using oxytocin augment).
 Operative vaginal delivery :
* Vacuum extraction
* Direct compression of fetal head during
delivery by forceps.

7. Shoulder
dystocia
It’s an obstetric emergency. The
infant’s head is delivered normally,
but one shoulder becomes stuck
under the mother’s pubic bone.
The maneuver may result in
brachial plexus injury due to the
difficult birth of the baby resulting
in impaired movement of the
injured arm.

8. Risk factors for
shoulder dystocia
Large baby.
 Short woman.
Woman with gestational diabetes.
Prolonged labor.
Use of forceps or a vacuum extractor