{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:23:37Z","timestamp":1788643417019,"version":"build-2803163510"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T00:00:00Z","timestamp":1571961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int Q Community Health Educ"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>A cross-sectional study was conducted using a validated and standardized questionnaire answered by willing pediatricians and obstetricians at our university teaching hospitals. Nearly two thirds of the pediatricians (62.8%) and three fourths of the obstetricians (73.6%) continued to accept the terminology of obstetric brachial plexus birth palsy which is a misnomer; 32.6% of pediatricians felt that they were unaware of the current trends in its management. Parental reluctance (23.5%) and inadequate knowledge in current approaches among surgeons and pediatricians (41.2%) were suggested as chief causes for the delay in their adequate referral and management using surgical exploration, nerve grafting, and nerve transfer. The delayed presentations of birth brachial plexus injuries with missed opportunity for optimum treatment can be partly attributed to inadequate information available on definitive guidelines in its management among the stakeholders including parents, primary care physicians, and surgeons.<\/jats:p>","DOI":"10.1177\/0272684x19883523","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T12:13:40Z","timestamp":1572005620000},"page":"363-366","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Role of Early Referral and Surgical Intervention in Brachial Plexus Birth Palsy: Awareness Among Obstetricians and Pediatricians in a Teaching Hospital"],"prefix":"10.1177","volume":"40","author":[{"given":"A.","family":"Nayak","sequence":"first","affiliation":[{"name":"Division of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"D\u2019Souza","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil K.","family":"Bhat","sequence":"additional","affiliation":[{"name":"Division of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arati","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Public Health, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9899-0107","authenticated-orcid":false,"given":"Ashwath M.","family":"Acharya","sequence":"additional","affiliation":[{"name":"Division of Hand and Microsurgery, Department of Orthopaedics, Kasturba Medical College Hospital, Manipal, Manipal Academy of Higher Education, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"key":"bibr1-0272684X19883523","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.11.026"},{"key":"bibr2-0272684X19883523","unstructured":"Cornwall R, Waters PW. Pediatric brachial plexus palsy pediatric brachial plexus injury. In: Wolfe S, Pederson WC, Hotchkiss RN, et\u00a0al.\n                      Green\u2019s operative hand surgery\n                      . 7th ed. Amsterdam: Elsevier, 2017, pp. 1391\u20131424."},{"key":"bibr3-0272684X19883523","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2008.08.003"},{"key":"bibr4-0272684X19883523","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2005.10.014"},{"key":"bibr5-0272684X19883523","doi-asserted-by":"crossref","unstructured":"DeFrancesco CJ, Shah DK, Rogers BH, et\u00a0al. The epidemiology of brachial plexus birth palsy in the United States: declining incidence and evolving risk factors.\n                      J Pediatr Orthop\n                      2019: e134\u2013e140.","DOI":"10.1097\/BPO.0000000000001089"},{"key":"bibr6-0272684X19883523","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-3782(13)70111-7"},{"key":"bibr7-0272684X19883523","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.05.008"}],"container-title":["International Quarterly of Community Health Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0272684X19883523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0272684X19883523","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0272684X19883523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:49:11Z","timestamp":1777657751000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0272684X19883523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,25]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/0272684X19883523"],"URL":"https:\/\/doi.org\/10.1177\/0272684x19883523","relation":{},"ISSN":["0272-684X","1541-3519"],"issn-type":[{"value":"0272-684X","type":"print"},{"value":"1541-3519","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,25]]}}}