Update on Neonatal Brachial Plexus Palsy and Shoulder Dystocia

Update on Neonatal Brachial Plexus Palsy and Shoulder Dystocia

Release Date: 05/14/18
Expiration Date: 05/14/21
Format: Internet Activity Enduring Material

Statement of Need/Program Overview

Neonatal brachial plexus palsy (NBPP) is a rare occurrence, with an overall incidence of 1.5 per 1,000 total births in the US, however, it constitutes a large category of litigation in obstetrics. Multidisciplinary research over the past twenty years stresses that NBPP occurs in a multifactorial fashion and that the incidence of NBPP does not, a priori, indicate that exogenous forces are the sole cause of this injury. The purpose of the educational activity is to provide information about the incidence of NBPP, with and without recognized shoulder dystocia, and the history behind the American College of Obstetricians and Gynecologists (ACOG) Task Force Report on NBPP. Additionally, discussions will be had about the pathophysiology and causation of NBPP, specific interventions that may reduce the frequency of NBPP as well as the benefits of simulation and team training to reduce NBPP frequency.

Target Audience

The target audience for this activity is Medical Mutual's provider physician group and related healthcare professionals.

Educational Objectives

After completing this activity, the participant should be better able to:

  1. Explain the American College of Obstetricians and Gynecologists (ACOG) Task Force Report on NeonatalBrachial Plexus Palsy (NBPP) and what led to its formation
  2. Outline the incidence of NBPP, with our without recognized shoulder dystocia
  3. Discuss the biomechanics of vaginal delivery with particular focus on the pathophysiology and causation of NBPP, with and without recognized shoulder dystocia
  4. Summarize how simulation and team training improve fetal outcomes when clinical shoulder dystocia occurs
  5. Identify specific interventions that may reduce the frequency of NBPP, inclusive of axillary traction

Accreditation Statement

Medical Mutual is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement

Medical Mutual designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information about the accreditation of this program please contact the CME Team at 800.662.7917 or at .

Instructions to Receive CME Credit

In order to successfully complete the activity, participants must score 70% on the post test at the end of the activity and complete the course evaluations. Each participant has a maximum of three attempts to score a 70%. Successful completion is supported by a 70% pass rate at the end of the course, proving competency on the content of the activity.

Faculty and Disclosures

Medical Mutual requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity.

All identified conflicts of interest are thoroughly vetted by Medical Mutual for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The following reported no relevant financial relationships or relationships to products or devices that they or their spouse/life partner have with commercial support interests related to the content of this CME activity.

  • Robert Gherman, MD, FACOG (Faculty)
  • Donna Nicholson, Vice President of Risk Management, Medical Mutual (Reviewer)
  • Tamara Johnson, Director of Clinical Risk Management and Patient Safety, Medical Mutual (Planner)
  • Sharon Nichols, Senior Risk Consultant, Medical Mutual (Planner)
  • Lauren Hauser, Education Program Specialist, Medical Mutual (Planner)
  • Whitley Paige, Risk Management Coordinator, Medical Mutual (Planner)


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management.

Not a guarantee that using information provided will prevent a claim against you or your practice.

Technical Requirements

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