WHAT ARE THE RISK FACTORS FOR ERB'S PALSY?

  There are several well-known risk factors that increase the likelihood of difficult deliveries and Erb's Palsy:

  • Mothers who have had a prior child with shoulder dystocia, regardless of whether the previous child had a brachial plexus injury
  • Mothers who have had their labor started ("induced") or sped up with drugs like Cytotec, Pitocin, Cervadil, or Prepadil.
  • Larger babies, predictably, are born to  mother's with diabetes, or gestational diabetes, particularly if the blood sugars have not been carefully monitored and managed
  • Mothers with smaller or unusual shaped pelvises or pelvic openings
  • Mothers who gained too much weight during pregnancy
  • Big babies ("macrosomia") (especially those weighing over 8 1/2 pounds at birth)
  • Prolonged labors
  • Precipitous deliveries
  • Breech position
  • Fetal malposition in the birth canal