Document Detail


Incidence of and risk factors for birth trauma in Iran.
MedLine Citation:
PMID:  20708523     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Birth trauma at delivery is a rare but significant prenatal complication. The aim of this study was to determine the incidence of birth trauma and risk factors related to fetal injury.
MATERIALS AND METHODS: Birth trauma was evaluated in singleton fetuses with no major anomalies and with vertex presentations over a 3-year period from 2002 to 2005. One hundred and forty-eight neonates, who experienced birth trauma, were prospectively identified and compared with 280 normal neonates. Both groups were delivered vaginally. Maternal and infant characteristics were evaluated as possible risk factors for fetal injury.
RESULTS: Among the 148 infants with birth trauma, nine had multiple injuries. The most common injury was cephalohematoma (n = 77). Other injuries included clavicle fractures (n = 56), brachial plexus paralysis (n = 13), asphyxia (n = 7), facial lacerations (n = 4), brain hemorrhage (n = 1), and skin hematoma (n = 2). Multiple regression analysis identified premature rupture of membranes, instrumental delivery, birth weight, gestational age, induction of labor, and academic degree of attendant physician at delivery as the most significant risk factors for birth trauma.
CONCLUSION: The incidence of birth trauma was 41.16 per 1,000 vaginal deliveries. Induction of labor, premature rupture of membranes, academic degree of attendant physician at delivery, higher birth weight, and gestational age were associated with fetal injuries.
Authors:
Hajiehe Borna; Sied Mohammad Bager Akhavi Rad; Sedigheh Borna; Sakineh Moaid Mohseni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  49     ISSN:  1875-6263     ISO Abbreviation:  Taiwan J Obstet Gynecol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-12-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China    
Other Details:
Languages:  eng     Pagination:  170-3     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Taiwan Association of Obstetrics and Gynecology. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Pediatrics, Mostafa Khomini Hospital, Shahed University of Medical Sciences, Tehran, Iran.
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MeSH Terms
Descriptor/Qualifier:
Adult
Asphyxia Neonatorum / epidemiology
Birth Injuries / epidemiology*
Birth Weight
Brachial Plexus Neuropathies / epidemiology
Brain Hemorrhage, Traumatic / epidemiology
Case-Control Studies
Clavicle / injuries
Clinical Competence
Extraction, Obstetrical / adverse effects
Facial Injuries / epidemiology
Female
Fetal Membranes, Premature Rupture / epidemiology
Fractures, Bone / epidemiology
Gestational Age
Hematoma / epidemiology
Humans
Incidence
Infant, Newborn
Iran / epidemiology
Labor, Induced / adverse effects
Multivariate Analysis
Pregnancy
Prospective Studies
Risk Factors
Scalp
Skin Diseases / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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