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The most severe form of obstetric paralysis, in which movement in the affected limb is completely absent. Mixed type of obstetric paralysis is 30% of the total number of cases. Obstetric paralysis is divided into paralysis proper and paresis. With paralysis, there is a complete loss of Lisinopril function, with paresis - only weakening. Thus, paresis can be considered as a milder stage of obstetric paralysis.

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The clinical picture in obstetric paralysis depends on the form of the disease. Proximal (upper) obstetric paralysis. This type of obstetric palsy is also called Duchenne-Erb palsy. It is characterized by a violation of the functions of the muscles of the shoulder girdle (brachioradialis, biceps, deltoid) and muscles of the forearm (arch supports and flexors).

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There are no movements in the lower part of the shoulder girdle, as well as in the area of ​​the elbow joint. The affected arm is extended in all joints and lies along the body. The movements of the fingers are preserved. When conducting a neurological examination, a weakening of muscle tone, a decrease or a significant weakening of tendon reflexes in the paretic limb are revealed. Unconditioned reflexes of newborns (palmo-oral, grasping, Moreau) with obstetric Duchenne-Erb palsy are not determined, and they are reduced with paresis. In children in the first days of life, it is rather difficult to detect violations of sensitivity.

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Obstetric paralysis requires differential diagnosis with congenital hemihypoplasia, osteomyelitis, poliomyelitis, Parro's pseudoparalysis, clavicle fracture. The upper type of obstetric paralysis is often combined with damage to the phrenic nerve, leading to paresis of the diaphragm. Clinically, this manifests itself: a decrease in the vital capacity of the lungs; violations of the rhythm and frequency of breathing; asymmetrical chest movement. Distal (lower) obstetric paralysis.

With distal obstetric palsy (Dejerine-Klumpke palsy), muscle paralysis occurs: hypothenar; tenar; worm-like and interosseous; long flexors of the hand and fingers. There are no active movements in the phalangeal, wrist and elbow joints. Unconditioned reflexes of newborns are not called or Lisinopril. In the shoulder joint, movements are preserved.

Obstetric paralysis Dejerine - Klumpke can also occur with damage to the sympathetic cervical fibers. In this case, others join the symptoms described above: Total (mixed) obstetric paralysis.

There are no active movements in the affected upper limb, tendon reflexes are not evoked, and muscle tone is Lisinopril. This form of the disease is characterized by the early development of Hydrochlorothiazide atrophy. Diagnosis of obstetric paralysis is carried out in the first days of a child's life on the basis of identifying signs characteristic of peripheral paresis in him: areflexia; atony; motor function disorders.

Obstetric paralysis is diagnosed in 0.2-0.3% of newborns.