Document Detail

Route of delivery and neonatal birth trauma.
MedLine Citation:
PMID:  20079477     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We sought to examine rates of birth trauma in 2 groupings (all International Classification of Diseases, Ninth Revision codes for birth trauma, and as defined by the Agency for Healthcare Research and Quality Patient Safety Indicator [PSI]) among infants born by vaginal and cesarean delivery. STUDY DESIGN: Data on singleton infants were obtained from the 2004-2005 Healthcare Cost and Utilization Project Nationwide Inpatient Sample. RESULTS: The rates of Agency for Healthcare Research and Quality PSI and all birth trauma were 2.45 and 25.85 per 1000 births, respectively. Compared with vaginal, cesarean delivery was associated with increased odds of PSI birth trauma (odds ratio [OR], 1.71), primarily due to an increased risk for "other specified birth trauma" (OR, 2.61). Conversely, cesarean delivery was associated with decreased odds of all birth trauma (OR, 0.55), due to decreased odds of clavicle fractures (OR, 0.07), brachial plexus (OR, 0.10), and scalp injuries (OR, 0.55). CONCLUSION: Infants delivered by cesarean are at risk for different types of birth trauma from infants delivered vaginally.
Charmaine K Moczygemba; Pangaja Paramsothy; Susan Meikle; Athena P Kourtis; Wanda D Barfield; Elena Kuklina; Samuel F Posner; Maura K Whiteman; Denise J Jamieson
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Publication Detail:
Type:  Journal Article     Date:  2010-01-15
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  361.e1-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Department of Gynecology and Obstetrics, Emory University, Atlanta, GA, USA.
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MeSH Terms
Birth Injuries / epidemiology*
Birth Weight
Cesarean Section / adverse effects,  statistics & numerical data*
Delivery, Obstetric / adverse effects,  statistics & numerical data*
Gestational Age
Infant, Low Birth Weight
Infant, Newborn
Risk Factors
United States / epidemiology

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