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Abstract：
To investigate neonatal injuries, morbidities and risk factors related to vaginal deliveries. This retrospective, descriptive study identified 3500 patients who underwent vaginal delivery between 2020 and 2022. Demographic data, neonatal injuries, complications arising from vaginal delivery and pertinent risk factors were documented. Neonatal injuries and morbidities were prevalent in cases of assisted vacuum delivery, gestational diabetes mellitus class A2 (GDMA2) and pre-eclampsia with severe features. Caput succedaneum and petechiae were observed in 291/3500 cases (8.31%) and 108/3500 cases (3.09%), respectively. Caput succedaneum was associated with multiparity (adjusted odds ratio [AOR] 0.36, 95% confidence interval [CI] 0.22-0.57, P < 0.001) and assisted vacuum delivery (AOR 5.18, 95% CI 2.60-10.3, P < 0.001). Cephalohaematoma was linked to GDMA2 (AOR 11.3, 95% CI 2.96-43.2, P < 0.001) and assisted vacuum delivery (AOR 16.5, 95% CI 6.71-40.5, P < 0.001). Scalp lacerations correlated with assisted vacuum and forceps deliveries (AOR 6.94, 95% CI 1.85-26.1, P < 0.004; and AOR 10.5, 95% CI 1.08-102.2, P < 0.042, respectively). Neonatal morbidities were associated with preterm delivery (AOR 3.49, 95% CI 1.39-8.72, P = 0.008), night-time delivery (AOR 1.32, 95% CI 1.07-1.63, P = 0.009) and low birth weight (AOR 7.52, 95% CI 3.79-14.9, P < 0.001). Neonatal injuries and morbidities were common in assisted vacuum delivery, maternal GDMA2, pre-eclampsia with severe features, preterm delivery and low birth weight. Cephalohaematoma and scalp lacerations were prevalent in assisted vaginal deliveries. Most morbidities occurred at night.Clinical trial registration: Thai Clinical Trials Registry 20220126004.
摘要：
为了调查新生儿受伤情况，与阴道分娩相关的发病率和危险因素。这次回顾，描述性研究确定了在2020年至2022年间接受阴道分娩的3500例患者.人口统计数据,新生儿受伤,记录了阴道分娩引起的并发症和相关危险因素.在辅助真空分娩的情况下，新生儿损伤和发病率很普遍。妊娠期糖尿病A2类（GDMA2）和子痫前期具有严重特征。在291/3500例（8.31％）和108/3500例（3.09％）中观察到了头孢和瘀点。分别。caputsucedaneum与多产性(校正比值比[AOR]0.36,95%置信区间[CI]0.22-0.57,P<0.001)和辅助真空分娩(AOR5.18,95%CI2.60-10.3,P<0.001)相关。头颅血肿与GDMA2（AOR11.3，95％CI2.96-43.2，P<0.001）和辅助真空输送（AOR16.5，95％CI6.71-40.5，P<0.001）相关。头皮撕裂与辅助真空和镊子分娩相关（分别为AOR6.94，95％CI1.85-26.1，P<0.004；和AOR10.5，95％CI1.08-102.2，P<0.042）。新生儿发病率与早产相关(AOR3.49,95%CI1.39-8.72,P=0.008),夜间分娩（AOR1.32，95%CI1.07-1.63，P=0.009）和低出生体重（AOR7.52，95%CI3.79-14.9，P<0.001）。新生儿损伤和发病率在辅助真空分娩中很常见，孕产妇GDMA2，具有严重特征的先兆子痫，早产和低出生体重。在辅助阴道分娩中普遍存在头颅血肿和头皮裂伤。大多数疾病发生在晚上。临床试验注册：泰国临床试验注册20220126004。
