PDF(Pubmed)
Abstract：
BACKGROUND: Birth injury or birth trauma refers to physical damage or trauma that occurs to a newborn during the birthing process. To ensure continuous care and improve neonatal outcomes, it is crucial to know the incidence, types, relation to the mode of delivery, and their management.
METHODS: This is a retrospective cohort study conducted at Aga Khan University Hospital, Pakistan from January 2018 to December 2022. Neonates aged from birth to 28 days of life identified to sustain any form of mechanical birth injuries were included. Data analysis was done using SPSS version 19 (IBM Corp., Armonk, NY).
RESULTS: In the last five years, 51 mechanical birth injuries were found among 27,854 deliveries, which accounts for one in 546 births with an overall prevalence of 0.001%. Out of the total mechanical birth injuries, 12 (23.5%) were noticed in spontaneous vaginal delivery, six (11.8%) had instrumental delivery, and 33 (64.7%) patients had cesarean sections. More birth injuries were noticed in emergency cesarean section as compared to vaginal deliveries. There were 40 babies (78%) with soft tissue injuries, seven (14%) had musculoskeletal injuries/fractures, two (4%) babies had intracranial bleeding, and two (4%) had fractures along with intracranial bleeding. There was no mortality reported among these neonates.
CONCLUSIONS: The overall rate of birth injuries was significantly lower as compared to other low and middle-income countries. Most of the birth injuries were soft tissue injuries in patients with cesarean sections. The rate of birth injury did not show any association with the time of delivery. More frequent obstetric emergency drills would improve complications associated with shoulder dystocia.
METHODS: This is a retrospective cohort study conducted at Aga Khan University Hospital, Pakistan from January 2018 to December 2022. Neonates aged from birth to 28 days of life identified to sustain any form of mechanical birth injuries were included. Data analysis was done using SPSS version 19 (IBM Corp., Armonk, NY).
RESULTS: In the last five years, 51 mechanical birth injuries were found among 27,854 deliveries, which accounts for one in 546 births with an overall prevalence of 0.001%. Out of the total mechanical birth injuries, 12 (23.5%) were noticed in spontaneous vaginal delivery, six (11.8%) had instrumental delivery, and 33 (64.7%) patients had cesarean sections. More birth injuries were noticed in emergency cesarean section as compared to vaginal deliveries. There were 40 babies (78%) with soft tissue injuries, seven (14%) had musculoskeletal injuries/fractures, two (4%) babies had intracranial bleeding, and two (4%) had fractures along with intracranial bleeding. There was no mortality reported among these neonates.
CONCLUSIONS: The overall rate of birth injuries was significantly lower as compared to other low and middle-income countries. Most of the birth injuries were soft tissue injuries in patients with cesarean sections. The rate of birth injury did not show any association with the time of delivery. More frequent obstetric emergency drills would improve complications associated with shoulder dystocia.
摘要：
背景：出生损伤或出生创伤是指新生儿在分娩过程中发生的身体损伤或创伤。为了确保持续护理和改善新生儿结局，了解发病率至关重要，类型,与交付方式的关系，和他们的管理。
方法：这是一项在阿加汗大学医院进行的回顾性队列研究，巴基斯坦从2018年1月至2022年12月。包括从出生到28天寿命的新生儿，这些新生儿被确定为遭受任何形式的机械性分娩伤害。数据分析使用SPSS版本19(IBMCorp.,Armonk,NY).
结果：在过去的五年中，在27,854例分娩中发现51例机械分娩伤害，占546例新生儿中的1例，总体患病率为0.001%。在所有机械出生伤害中，在自然阴道分娩中发现12例（23.5%），6人(11.8%)有工具交付，33例(64.7%)患者进行了剖宫产。与阴道分娩相比，在紧急剖宫产中发现更多的分娩伤害。有40个婴儿（78%）有软组织损伤，7人（14%）有肌肉骨骼损伤/骨折，两个（4%）婴儿有颅内出血，2例(4%)有骨折伴颅内出血。这些新生儿没有死亡报告。
结论：与其他低收入和中等收入国家相比，出生伤害的总体发生率明显较低。剖宫产患者的分娩损伤多为软组织损伤。出生伤害率与分娩时间没有任何关联。更频繁的产科急诊演习将改善与肩难产相关的并发症。
方法：这是一项在阿加汗大学医院进行的回顾性队列研究，巴基斯坦从2018年1月至2022年12月。包括从出生到28天寿命的新生儿，这些新生儿被确定为遭受任何形式的机械性分娩伤害。数据分析使用SPSS版本19(IBMCorp.,Armonk,NY).
结果：在过去的五年中，在27,854例分娩中发现51例机械分娩伤害，占546例新生儿中的1例，总体患病率为0.001%。在所有机械出生伤害中，在自然阴道分娩中发现12例（23.5%），6人(11.8%)有工具交付，33例(64.7%)患者进行了剖宫产。与阴道分娩相比，在紧急剖宫产中发现更多的分娩伤害。有40个婴儿（78%）有软组织损伤，7人（14%）有肌肉骨骼损伤/骨折，两个（4%）婴儿有颅内出血，2例(4%)有骨折伴颅内出血。这些新生儿没有死亡报告。
结论：与其他低收入和中等收入国家相比，出生伤害的总体发生率明显较低。剖宫产患者的分娩损伤多为软组织损伤。出生伤害率与分娩时间没有任何关联。更频繁的产科急诊演习将改善与肩难产相关的并发症。
