TY - JOUR
T1 - Neonatal birth trauma: incidence and predisposing factors
AU - Aminullah, Asril
AU - Budiwardhana, Novik
AU - Firmansyah, Agus
PY - 2016
Y1 - 2016
N2 - Background The incidence of birth trauma and its predisposing
factors at a major teaching hospital in Indonesia had not been reported.
Objective To find the incidence of birth trauma, calculate a risk
assessment of predisposing factors, to study whether cesarean
section lowers birth trauma, and to identify the variety of morbidity
and mortality due to birth trauma.
Methods The incidence was studied retrospectively from 4843
medical records from January 2000 through June 2001 using the
ICD-10 classification. Birth trauma cases were then included in a
case-control study for a risk assessment profile of predisposing
factors with logistic regression analysis.
Results Three hundreds and thirty five out of 4843 neonates were
identified to have birth trauma. Analysis revealed that forceps
extraction (OR=48.29; p<0.01), vacuum extraction (OR=25.37;
p<0.01), breech vaginal delivery (OR=3.94; p=0.03), and cesarean
section (OR=3.44; p<0.01) were significant risk factors.
Macrosomic infant (OR=3.86; p=0.04) was also significant. Birth
injury to face (ICD-10 code P15.4) was the most common finding,
followed by cephalhematoma and bruising of the scalp.
There was no mortality due to birth trauma.
Conclusions The incidence of birth trauma was still high. Cesarean
section was found to be one of the risk factors, but
compared to forceps and vacuum extraction, the risk of trauma
is considered to be more acceptable.
AB - Background The incidence of birth trauma and its predisposing
factors at a major teaching hospital in Indonesia had not been reported.
Objective To find the incidence of birth trauma, calculate a risk
assessment of predisposing factors, to study whether cesarean
section lowers birth trauma, and to identify the variety of morbidity
and mortality due to birth trauma.
Methods The incidence was studied retrospectively from 4843
medical records from January 2000 through June 2001 using the
ICD-10 classification. Birth trauma cases were then included in a
case-control study for a risk assessment profile of predisposing
factors with logistic regression analysis.
Results Three hundreds and thirty five out of 4843 neonates were
identified to have birth trauma. Analysis revealed that forceps
extraction (OR=48.29; p<0.01), vacuum extraction (OR=25.37;
p<0.01), breech vaginal delivery (OR=3.94; p=0.03), and cesarean
section (OR=3.44; p<0.01) were significant risk factors.
Macrosomic infant (OR=3.86; p=0.04) was also significant. Birth
injury to face (ICD-10 code P15.4) was the most common finding,
followed by cephalhematoma and bruising of the scalp.
There was no mortality due to birth trauma.
Conclusions The incidence of birth trauma was still high. Cesarean
section was found to be one of the risk factors, but
compared to forceps and vacuum extraction, the risk of trauma
is considered to be more acceptable.
UR - https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/839
U2 - 10.14238/pi43.6.2003
DO - 10.14238/pi43.6.2003
M3 - Article
SN - 0030-9311
VL - 43
SP - 220
EP - 225
JO - Paediatrica Indonesiana
JF - Paediatrica Indonesiana
IS - 6
ER -