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A single-center study of the incidence of neonatal birth trauma and its risk factors
WANG Hui, LUO Bei, TONG Xiao-Mei
Chinese Journal of Contemporary Pediatrics ›› 2019, Vol. 21 ›› Issue (3) : 249-252.
PDF(1202 KB)
PDF(1202 KB)
A single-center study of the incidence of neonatal birth trauma and its risk factors
Objective To investigate the incidence of neonatal birth trauma in the department of obstetrics in a single-center medical institution and the risk factors for neonatal birth trauma. Methods The maternal and infant medical records of all full-term singleton neonates delivered in the Department of Obstetrics, Peking University International Hospital, from October 2015 to September 2018 were collected. The neonates with birth trauma were assigned to case group, and those without birth trauma were assigned to control group. The risk factors for neonatal birth trauma were identified by multivariate logistic regression analysis. Results Of the 4 682 full-term singleton neonates delivered during the study period, 201 (4.29%) were diagnosed with birth trauma. The most frequent type of birth trauma was cephalohematoma (81.7%), followed by facial nerve palsy (9.1%). The multivariate logistic regression analysis identified vaginal delivery, forceps-assisted delivery, induction of labor by oxytocin, premature rupture of membranes and a large neonatal head circumference as the risk factors for birth trauma (OR=5.020, 23.294, 1.409, 1.928 and 2.295 respectively; P < 0.05). Conclusions The most frequent type of neonatal birth trauma is cephalohematoma. Vaginal delivery, forceps-assisted delivery, induction of labor by oxytocin, premature rupture of membranes and a large neonatal head circumference may increase the risk of neonatal birth trauma, and forceps-assisted delivery is the strongest independent risk factor for birth trauma.
[1] 刘义. 产伤性疾病[M]//邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学. 第4 版. 北京:人民卫生出版社, 2011:856-864.
[2] Akangire G, Carter B. Birth injuries in neonates[J]. Pediatr Rev, 2016, 37(11):451-462.
[3] 陈世旺. 新生儿产伤103例临床分析[J]. 中国妇幼保健, 2013, 28(14):2228-2229.
[4] Ojumah N, Ramdhan RC, Wilson C, et al. Neurological neonatal birth injuries:a literature review[J]. Cureus, 2017, 9(12):e1938.
[5] Sauber-Schatz EK, Markovic N, Weiss HB, et al. Descriptive epidemiology of birth trauma in the United States in 2003[J]. Paediatr Perinat Epidemiol, 2010, 24(2):116-124.
[6] Ray S, Mondal R, Samanta M, et al. Prospective study of neonatal birth trauma:Indian perspective[J]. J Clin Neonatol, 2016, 5:91-95.
[7] 章莹, 叶韵韶, 张哲军, 等. 基于DRGs的新生儿产伤发生率调整研究[J]. 中国医院管理, 2018, 38(2):34-36.
[8] Borna H, Rad SM, Borna S, et al. Incidence of and risk factors for birth trauma in Iran[J]. Taiwan J Obstet Gynecol, 2010, 49(2):170-173.
[9] Linder N, Linder I, Fridman E, et al. Birth trauma-risk factors and short-term neonatal outcome[J]. J Matern Fetal Neonatal Med, 2013, 26(15):1491-1495.
[10] Abedzadeh-Kalahroudi M, Talebian A, Jahangiri M, et al. Incidence of neonatal birth injuries and related factors in Kashan, Iran[J]. Arch Trauma Res, 2015, 4(1):e22831.
[11] Walsh CA, Robson M, McAuliffe FM. Mode of delivery at term and adverse neonatal outcomes[J]. Obstet Gynecol, 2013, 121(1):122-128.
[12] Moczygemba CK, Paramsothy P, Meikle S, et al. Route of delivery and neonatal birth trauma[J]. Am J Obstet Gynecol, 2010, 202(4):361.e1-e6.
[13] Ekéus C, Högberg U, Norman M. Vacuum assisted birth and risk for cerebral complications in term newborn infants:a population-based cohort study[J]. BMC Pregnancy Childbirth, 2014, 14:36.
