Obstetrics & Gynecology Track the topics, authors and articles important to you
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Obstetrics & Gynecology 1984;63:792-795
© 1984 by The American College of Obstetricians and Gynecologists
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by LEVINE, M. G.
Right arrow Articles by MIODOVNIK, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by LEVINE, M. G.
Right arrow Articles by MIODOVNIK, M.

Birth Trauma

Incidence and Predisposing Factors

MICHAEL G. LEVINE, MD, JANE HOLROYDE, BS, JAMES R. WOODS, Jr, MD, TARIQ A. SIDDIQI, MD, MACHENRY SCOTT, MD and MENACHEM MIODOVNIK, MD

From the Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio.

The authors retrospectively studied 13,870 singleton fullterm consecutive live births at a major teaching hospital and assessed the frequency of brachial plexus injury, clavicular fracture, and facial nerve injury in newborns delivered from January 1974 through December 1977 and from January 1979 through September 1981. Predisposing factors relating to mechanical birth trauma were defined, and a risk assessment profile was developed to identify the fetus at risk. Mechanical injuries were identified according to the International Classification of Diseases codes 761. The incidence of selected birth injuries in the study group were: brachial plexus injury, 2.6 per 1000 or 1 in 385 single full-term live births; fractured clavicle, 2.0 per 1000 or 1 in 495 single fullterm live births; and facial nerve injury, 7.5 per 1000 or 1 in 133 single full-term live births. There were 162 full-term infants born with 168 injuries relevant to this study. Of the six infants who incurred more than one injury, three had a combined fractured clavicle-brachial plexus injury, and three had facial nerve-brachial plexus injuries. Logistic regression analysis of fetal, maternal, and intrapartum complications in labor and delivery revealed that midforceps, shoulder dystocia, low forceps, infants greater than 3500 g, and second stage labor exceeding 60 minutes were the predominant events associated with fetal injury. The authors then applied a risk assessment profile to successfully identify over 50% of the injured and 84% of the uninjured groups. From their results, the authors suggest that obstetricians should alert the pediatricians when these predisposing factors exist to aid in the recognition and early treatment of these birth injuries.




This article has been cited by other articles:


Home page
 Obstet GynecolHome page
I. Z. MacKenzie, M. Shah, K. Lean, S. Dutton, H. Newdick, and D. E. Tucker
Management of Shoulder Dystocia: Trends in Incidence and Maternal and Neonatal Morbidity
Obstet. Gynecol., November 1, 2007; 110(5): 1059 - 1068.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
J. M. Alexander, K. J. Leveno, J. Hauth, M. B. Landon, E. Thom, C. Y. Spong, M. W. Varner, A. H. Moawad, S. N. Caritis, M. Harper, et al.
Fetal Injury Associated With Cesarean Delivery.
Obstet. Gynecol., October 1, 2006; 108(4): 885 - 890.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
P. M. Waters and D. S. Bae
The Effect of Derotational Humeral Osteotomy on Global Shoulder Function in Brachial Plexus Birth Palsy
J. Bone Joint Surg. Am., May 1, 2006; 88(5): 1035 - 1042.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
M.-H. Lam, G. Y. Wong, and T. T. Lao
Reappraisal of Neonatal Clavicular Fracture: Relationship Between Infant Size and Neonatal Morbidity
Obstet. Gynecol., July 1, 2002; 100(1): 115 - 119.
[Abstract] [Full Text] [PDF]

Home page
 Arch DermatolHome page
A. Metzker, S. Brenner, and P. Merlob
Iatrogenic Cutaneous Injuries in the Neonate
Arch Dermatol, June 1, 1999; 135(6): 697 - 703.
[Abstract] [Full Text] [PDF]

Home page
 Obstet GynecolHome page
W. M. GILBERT, T. S. NESBITT, and B. DANIELSEN
Associated Factors in 1611 Cases of Brachial Plexus Injury
Obstet. Gynecol., April 1, 1999; 93(4): 536 - 540.
[Abstract] [Full Text] [PDF]

Home page
 Arch Otolaryngol Head Neck SurgHome page
C. A. Hughes, E. H. Harley, G. Milmoe, R. Bala, and A. Martorella
Birth Trauma in the Head and Neck
Arch Otolaryngol Head Neck Surg, February 1, 1999; 125(2): 193 - 199.
[Abstract] [Full Text] [PDF]

Home page
 J Hand Surg Eur VolHome page
M. M. AL-QATTAN, H. M. CLARKE, and C. G. CURTIS
Klumpke's Birth Palsy: Does it really exist?
J Hand Surg Eur Vol., February 1, 1995; 20(1): 19 - 23.
[Abstract] [PDF]

Home page
 J Hand Surg Eur VolHome page
M. M. AL-QATTAN, H. M. CLARKE, and C. G. CURTIS
The Prognostic Value of Concurrent Clavicular Fractures in Newborns with Obstetric Brachial Plexus Palsy
J Hand Surg Eur Vol., December 1, 1994; 19(6): 729 - 730.
[Abstract] [PDF]

Home page
 J Child NeurolHome page
J. P. Laurent and R. T. Lee
Topical Review: Birth-Related Upper Brachial Plexus Injuries in Infants: Operative and Nonoperative Approaches
J Child Neurol, April 1, 1994; 9(2): 111 - 117.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1984 by the American College of Obstetricians and Gynecologists.