Spectrum of birth trauma: A study from rural India
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 8, Issue 1
Abstract
Background: The effects of trauma sustained during the birth process may range from the very minor to those so severe as to be incompatible with life. Birth trauma in newborn may range from minor soft tissue injuries at birth to long bone fractures and broken collar bone, bleeds (cephalhematoma, subgaleal bleed and intra cranial bleeds) and peripheral nerve injuries. Objective: To determine the rate of birth trauma and the rates of specific types of birth trauma. Methods: prospective Longitudinal observational hospital based study was conducted at Neonatology Unit, Dept. of Pediatrics, Rural Medical College, Loni from September 2015 to September 2017 involving 17364 inborn live neonates and 2053 outborn neonates. Results: incidence among live inborn neonates is 7.25 per 1000 live births. Mean birth weight of the neonates was 2501.6±605.5 gms. The percentage of Birth trauma in the study population was 1.03% (200 out of 19417 total neonates) during the study period. The incidence of Cephalhematoma was 0.67%, Incidence of extracranial hemorrhage was found to be 69.5% (139 subjects). Of 69.5% of Extracranial hemorrhage 65% were Cephalhematoma and 4.5% were subgaleal hematoma. Soft tissue trauma was seen in 19.5% cases. 4.5% had brachi brachial plexus injury and 3.5% had scalpel trauma. Conclusion: percentage of birth trauma among the study population of 19417 is 1.03%.Incidence of birth trauma among live inborn neonates is 7.25 per 1000 live births. The incidence of Cephalhematoma was 4.54 per 1000 live births, Soft tissue trauma had incidence of 1.49 per 1000 live births Cephalhematoma seen in 65% was the commonest birth trauma Cephalhematoma was the most predominant birth trauma
Authors and Affiliations
Rohit Dilip Nagrik, Rajib Chatterjee, Virat Bothra
Keywords
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- EP ID EP444006
- DOI 10.26611/1014819
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