Document Detail


Reappraisal of neonatal clavicular fracture. Relationship between infant size and risk factors.
MedLine Citation:
PMID:  12497678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine the role of fetal size in neonatal clavicular fracture. STUDY DESIGN: A retrospective, case-control study was performed on infants diagnosed with neonatal clavicular fractures and born vaginally between July 1997 and June 2000. For each index case, a control matched for gestational age (within one week) and birth weight (within 250 g) and delivered within the same 24-hour period was selected at random from the delivery suite registry. The maternal and intrapartum factors were compared and the results analyzed according to whether the infants were large for gestational age (LGA) or not. RESULTS: Among 9,540 neonates delivered vaginally during this period, 151 (1.6%) had a fractured clavicle. Multivariate analysis indicated that the independent risk factors were shoulder dystocia and vacuum extraction. When analyzed according to fetal size, shoulder dystocia was significant only for LGA infants, while vacuum extraction was significant only for non-LGA infants. CONCLUSION: Independent risk factors for neonatal clavicular fracture are related to fetal size.
Authors:
Man-Ho Lam; Grace Y Wong; Terence T Lao
Related Documents :
7821248 - Low birth weight deliveries at the nyanza general hospital kisumu, kenya.
17299558 - A review of vacuum deliveries at komfo anokye teaching hospital, kumasi.
10870788 - Vaginal birth after caesarean section: an australian multicentre study. vbac study group.
10521768 - Labor and delivery characteristics and risks of cranial ultrasonographic abnormalities ...
3578188 - Use of low osmolar contrast for gastrointestinal studies in low-birth-weight infants.
15715588 - Role of cytokines in preterm labour and brain injury.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  47     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-12-24     Completed Date:  2003-03-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  903-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Tsan Yuk Hospital, Hong Kong S.A.R., P.R.C. f1592821@netvigator.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Asian Continental Ancestry Group
Birth Weight
Body Height
Case-Control Studies
Clavicle / injuries*
Dystocia / complications
Female
Fetal Macrosomia / complications
Gestational Age
Hong Kong / epidemiology
Humans
Incidence
Infant, Newborn
Pregnancy
Registries
Retrospective Studies
Risk Factors
Shoulder Fractures / epidemiology*,  etiology
Vacuum Extraction, Obstetrical / statistics & numerical data

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


Previous Document:  Clinical practice guidelines as educational tools for obstetrician-gynecologists.
Next Document:  Non-evidence-based use of Rho(D) immune globulin for threatened abortion by family practice and obst...