Abstract
Bone injuries during the process of delivery were studied among 34, 946 live born babies over a 11 period. There were 35 cases of bone injuries giving an incidence of 1 per 1,000 live births. Clavicle was the commonest bone fractured (45.7%) followed by humerus (20%), femur (14.3%) and depressed skull fracture (11.4%) in the order of frequency. There was one case each of orbital fracture, epiphyseal separation of lower end of femur and dislocation of elbow joint. Lack of antenatal care, malpresentation often leading to obstructed labour and operative deliveries were found to be risk factors for bone injuries. Meconium stained liquor and birth asphyxia were more commonly associated with bone injuries than control cases. Cases with injuries had longer hospital stay and higher mortality. Improving the health infrastructure at the peripheral level with early identification of high risk mothers and their appropriate management can bring down the incidence of bone injuries.
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References
Padmini R, Bhat BV, Puri RK. Birth injuries-Incidence, causative factors and outcome.Indian Pediatr 1988; 25: 770–774.
Behrman RE, Vaughan VC, Nelson WE, eds.Text Book of Pediatrics. 14th edition, Philadelphia: W.B. Saunders & Co, 1992: 453–458.
Levine MG, Holroydi J, Woods JRJ et al. Birth trauma: Incidence and predisposing factors.J Obstet Gynecol 1984; 63: 792–795.
Coherty JP, Stark AR.Manual of Neonatal Care. Boston: Little Brown & Co, 1991: 420–426.
Donn SM, Faix RG. Long term prognosis for the infant with severe birth trauma.Clin Perinatol 1983; 10: 487–505.
Mathur A, Bhat BV, Padmini R et al. Traumatic birth injuries in cesarean section.Int J Fetomaternal Med 1992; 5: 237–240.
Cyr RM, Usher RH, Mclean FH. Changing patterns of birth asphyxia and trauma over 20 years.Am J Obstet Gynecol 1984; 148: 449–498.
Bino A, Khanna VK, Dhamija K. Brachial plexus palsy in newborns.Indian Pediatr 1986; 27: 781.
Neilsen TF, Hodegard KH. Cesarean section and intra operative surgical complications.Acta Obstet Gynecol Scand 1984; 63: 103–108.
Alexander J, Gregg JE, Quinn MW. Femoral fractures at cesarean section.Br J Obstet Gynecol 1987; 94: 273.
Kaplan M, Dollberg M, Wagntraulog et al. Fractured long bones in a term infant delivered by cesarean section.Pediatr Radiol 1987; 17: 256–257.
Bhat BV, Puri RK, Padmini R. Depressed skull fracture in a newborn delivered by cesarean section.Indian Pediatr 1988; 25: 485–487.
Jackson ST, Hoffen MM, Parnish N. Brachial plexus palsy in the newborn.J Bone Joint Surg 1988; 70: 1217–1220.
Gilbert WM, Tchabo JG. Fractured clavicle in newborns.Int Surg 1988; 73: 123–125.
Paintain DB. Midcavity forceps delivery.Br J Obstet Gynecol 1982; 89: 495–500.
Freedman EA, Acker DB. Use of midcavity forceps and associated risk (letter).Am J Obstet Gynecol 1987; 156: 765–766.
Perkins RP. Perspectives of perinatal brain damage.Obstet Gynecol 1987; 69: 807–819.
Gorden M, Rich M, Dentsehburgir RJ. The immediate and long term outcome of risk trauma. Brachial Palsy.Am J Obstet Gynecol 1973; 117: 51–56.
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Bhat, B.V., Kumar, A. & Oumachigui, A. Bone injuries during delivery. Indian J Pediatr 61, 401–405 (1994). https://doi.org/10.1007/BF02751901
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DOI: https://doi.org/10.1007/BF02751901