1. Erb's Palsy Law for victims of Brachial Plexus and Shoulder Dystocia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
Erb's Palsy Law for victims of Brachial Plexus and Shoulder Dystocia
Children are born with birth complications every day. But it's possible that some of those birth complications, like Erb's Palsy (Brachial Plexus and Shoulder Dystocia), could have been prevented. Sometimes Erb's Palsy is due to an accident in the labor and delivery of a child. You deserve to know if your child's disability is due to negligent care and you have the right to investigate its cause and to know the options you have. You have the right to seek legal assistance to help defray medical bills, therapy costs and help prevent the same error from happening again to other children.
Erb's Palsy Legal Help is here to provide assistance. You may us an inquiry about what financial and legal assistance your child may be entitled to.
What Causes Erb's Palsy? The process of pregnancy and childbirth is extremely complicated and complications are common. An improper medical decision can cause Erb's Palsy. [continue]
What treatments are available to treat my child? Our legal system has an array of benefits for those who have Erb's Palsy to help make life easier and provide financial assistance. [continue] What legal rights do I have? Speak to an Erb's Palsy Lawyer to inquire about your rights and what legal benefits you may be entitled to. [continue] How do I find an attorney Locate a skilled attorney. [continue]
What is Erb's Palsy? | Causes of Erb's Palsy | Erb's Palsy Treatment What are our Legal Rights? | Find Legal Help | Resources

2. Wat is schouder dystocie ??
Impaction of the anterior shoulder against the symphysis
Need for ancillary obstetric manoeuvres
0.15 – 2%
Prolonged head to body delivery >60 seconds

3. - schade aan de plexus brachialis
Wat zijn de mogelijke gevolgen ??
- asphyxie
- schade aan de plexus brachialis

4. navelstreng pH 0.04 E/min bij volledige occlusie 7.30 7.00 7.5 minutes
daalt
met
0.04 E/min
7.30
7.00
7.5 minutes

5. Brachiale plexus

7. Dejerine-Klumpke parese
Erb-Duchenne parese
Waiter’s tip Deformity
Dejerine-Klumpke parese
Claw hand
upper brachial plexus lower brachial plexus
C5-C6-(C7) C7, C8, T1
Lateral flexion of neck
against fixed shoulder
Arm forced upwards
Arm adducted and internally rotated
Forearm pronated
Wrist flexed
Finger function and grasp relex are nl
Moro and biceps reflexes absent
Hand intrinsic muscle weakness
Grasp reflex absent
Biceps and radial reflexes present
Upper part of arm unaffected
Horner’s syndrome associated
(if T1 sympathetic fibers affected)

8. diagram of Erb-Duchenne palsy
                                                                                                                                                                              

9. diagram of Klumpke's palsy
                                                                                                                                                                     

10. Brachiale plexus Tear = afscheuren  AVULSION  RUPTURE  NEUROMA
Stretch =  NEUROPRAXIA

12. associated conditions
- Phrenic nerve palsy
- Horner’s syndroom, if the T1 root is affected,
interruption of sympathetic innervation at that level

13. therapy - Some may heal without therapy
- Some recover within within 3-4 months
- Some require physical therapy
- Some require surgery

14. maneuvers bij shouder dystocia Zavenelli HELPERR Rubin’s Woods’ screw
ulp erbij halen
valueer de episiotomie
egs = McRoberts maneuver
HELPERR
(supra)-pubische druk
Rubin’s
Woods’ screw
reversed Woods’ screw
nter = interne maneuvers
emove achterste arm
ol de parturiente tot knie-hand steun
Zavenelli

15. L
egs
Mc Roberts maneuver
solves 40% of all shoulder-dystocia problems

16. P
ubis
supra-pubische druk

17. E
digitale rotatie
nter
Rubin’s maneuver
Woods’screw maneuver

18. remove
de achterste schouder R
emove

19. R
oll-over

20. clavicula fractureren
Zavanelli’s maneuver
symfysiotomie