Regina writes:

I have a  client I am supposed to see tomorrow who in our initial phone call 
together  reported to me that the baby "has brachial plexus". I've never dealt 
with this  before. Client reports that baby's left arm and
neck are affected - the  neck partially.


~~
Here is a site I found that might be helpful.
_Brachial  Plexus Center | Multidisciplinary Approach, Cincinnati Children's 
Hospital  Medical Center_ 
(http://www.cincinnatichildrens.org/svc/alpha/b/brachial-plexus/brachial-appointment-ad.htm?WT.srch=1&WT.mc_id=100211)  
 
Depending on the extent of the injury the baby is experiencing, the  
shoulder, arm and/or hand might be weak, or lacking feeling, since this is what  the 
nerve bundle, the brachial plexus does. Just off the top of my head is might  
mean carefully observing what the baby can and cannot do and help the mom work  
with that. For instance, most babies are often getting their hands in their 
way,  whereas this baby's arm might be floppy, and need mom to actually 
position it  for him. She may need to be aware of where it is, so that it is 
comfortably  positioned by her or someone,  if he lacks motion capability, and if  
sensation is involved, because he may not be able to feel it himself, and it  
could get cold, or have compromised blood supply. He also may not be able to cue  
as well with arm position or fisting, and she might have to rely on the other 
 side. Usually the injury is one-sided. It might be good to ask if baby will 
be  seen by a PT or OT and see if all can meet for a session to work with each 
other  and give each other helpful hints on how to best help this mom and 
baby.
 
Clicking on the link to more helpful info was good. Deeper into the site:  
_http://www.cincinnatichildrens.org/health/info/neurology/diagnose/brachial-plexu
s.htm#treatment_ 
(http://www.cincinnatichildrens.org/health/info/neurology/diagnose/brachial-plexus.htm#treatment) 
 
Peace,
Judy  

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA

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