Fetal injury associated with cesarean delivery
To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery. Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was ab...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2006-10, Vol.108 (4), p.885-897 |
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| creator | ALEXANDER, James M LEVENO, Kenneth J WAPNER, Ronald J SOROKIN, Yoram MIODOVNIK, Menachem O'SULLIVAN, Mary J SIBAI, Baha M LANGER, Oded GABBE, Steven G ROUSE, Dwight J MACPHERSON, Cora LANDON, Mark HAUTH, John VARNER, Michael W MOAWAD, Atef H SPONG, Catherine Y CARITIS, Steve N MEIS, Paul J CARPENTER, Marshall LANDON, Mark B PEACEMAN, Alan M O'SULLIVAN, Mary Jo THORP, John M RAMIN, Susan M MERCER, Brian M THORN, Elizabeth HARPER, Margaret |
| description | To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery.
Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abstracted directly from hospital charts.
A total of 37,110 cesarean deliveries were included in the registry, and 418 (1.1%) had an identified fetal injury. The most common injury was skin laceration (n = 272, 0.7%). Other injuries included cephalohematoma (n = 88), clavicular fracture (n = 11), brachial plexus (n = 9), skull fracture (n = 6), and facial nerve palsy (n = 11). Among primary cesarean deliveries, deliveries with a failed forceps or vacuum attempt had the highest rate of injuries (6.9%). In women with a prior cesarean delivery, the highest rate of injury also occurred in the unsuccessful trial of forceps or vacuum (1.7%), and the lowest rate occurred in the elective repeat cesarean group (0.5%). The type of uterine incision was associated with fetal injury, 3.4% "T" or "J" incision, 1.4% for vertical incision, and 1.1% for a low transverse (P = .003), as was a skin incision-to-delivery time of 3 minutes or less. Fetal injury did not vary in frequency with the type of skin incision, preterm delivery, maternal body mass index, or infant birth weight greater than 4,000 g.
Fetal injuries complicate 1.1% of cesarean deliveries. The frequency of fetal injury at cesarean delivery varies with the indication for surgery as well as with the duration of the skin incision-to-delivery interval and the type of uterine incision.
II-3. |
| doi_str_mv | 10.1097/01.AOG.0000237116.72011.f3 |
| format | Article |
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Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abstracted directly from hospital charts.
A total of 37,110 cesarean deliveries were included in the registry, and 418 (1.1%) had an identified fetal injury. The most common injury was skin laceration (n = 272, 0.7%). Other injuries included cephalohematoma (n = 88), clavicular fracture (n = 11), brachial plexus (n = 9), skull fracture (n = 6), and facial nerve palsy (n = 11). Among primary cesarean deliveries, deliveries with a failed forceps or vacuum attempt had the highest rate of injuries (6.9%). In women with a prior cesarean delivery, the highest rate of injury also occurred in the unsuccessful trial of forceps or vacuum (1.7%), and the lowest rate occurred in the elective repeat cesarean group (0.5%). The type of uterine incision was associated with fetal injury, 3.4% "T" or "J" incision, 1.4% for vertical incision, and 1.1% for a low transverse (P = .003), as was a skin incision-to-delivery time of 3 minutes or less. Fetal injury did not vary in frequency with the type of skin incision, preterm delivery, maternal body mass index, or infant birth weight greater than 4,000 g.
Fetal injuries complicate 1.1% of cesarean deliveries. The frequency of fetal injury at cesarean delivery varies with the indication for surgery as well as with the duration of the skin incision-to-delivery interval and the type of uterine incision.
II-3.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/01.AOG.0000237116.72011.f3</identifier><identifier>PMID: 17012450</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>Adult ; Biological and medical sciences ; Birth Injuries - epidemiology ; Birth Injuries - ethnology ; Birth Injuries - etiology ; Cesarean Section - adverse effects ; Cesarean Section - methods ; Delivery. Postpartum. Lactation ; European Continental Ancestry Group ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Incidence ; Infant, Newborn ; Labor, Obstetric ; Medical sciences ; Parity ; Pregnancy ; Prospective Studies</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2006-10, Vol.108 (4), p.885-897</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-a40e651add67ad8519b7d62e11c615ba64072c7bdc54cd2c7391e3156facade23</citedby><cites>FETCH-LOGICAL-c347t-a40e651add67ad8519b7d62e11c615ba64072c7bdc54cd2c7391e3156facade23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18132413$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17012450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ALEXANDER, James M</creatorcontrib><creatorcontrib>LEVENO, Kenneth J</creatorcontrib><creatorcontrib>WAPNER, Ronald J</creatorcontrib><creatorcontrib>SOROKIN, Yoram</creatorcontrib><creatorcontrib>MIODOVNIK, Menachem</creatorcontrib><creatorcontrib>O'SULLIVAN, Mary J</creatorcontrib><creatorcontrib>SIBAI, Baha M</creatorcontrib><creatorcontrib>LANGER, Oded</creatorcontrib><creatorcontrib>GABBE, Steven G</creatorcontrib><creatorcontrib>ROUSE, Dwight J</creatorcontrib><creatorcontrib>MACPHERSON, Cora</creatorcontrib><creatorcontrib>LANDON, Mark</creatorcontrib><creatorcontrib>HAUTH, John</creatorcontrib><creatorcontrib>VARNER, Michael W</creatorcontrib><creatorcontrib>MOAWAD, Atef H</creatorcontrib><creatorcontrib>SPONG, Catherine Y</creatorcontrib><creatorcontrib>CARITIS, Steve N</creatorcontrib><creatorcontrib>MEIS, Paul J</creatorcontrib><creatorcontrib>CARPENTER, Marshall</creatorcontrib><creatorcontrib>LANDON, Mark B</creatorcontrib><creatorcontrib>PEACEMAN, Alan M</creatorcontrib><creatorcontrib>O'SULLIVAN, Mary Jo</creatorcontrib><creatorcontrib>THORP, John M</creatorcontrib><creatorcontrib>RAMIN, Susan M</creatorcontrib><creatorcontrib>MERCER, Brian M</creatorcontrib><creatorcontrib>THORN, Elizabeth</creatorcontrib><creatorcontrib>HARPER, Margaret</creatorcontrib><creatorcontrib>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><title>Fetal injury associated with cesarean delivery</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery.
Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abstracted directly from hospital charts.
A total of 37,110 cesarean deliveries were included in the registry, and 418 (1.1%) had an identified fetal injury. The most common injury was skin laceration (n = 272, 0.7%). Other injuries included cephalohematoma (n = 88), clavicular fracture (n = 11), brachial plexus (n = 9), skull fracture (n = 6), and facial nerve palsy (n = 11). Among primary cesarean deliveries, deliveries with a failed forceps or vacuum attempt had the highest rate of injuries (6.9%). In women with a prior cesarean delivery, the highest rate of injury also occurred in the unsuccessful trial of forceps or vacuum (1.7%), and the lowest rate occurred in the elective repeat cesarean group (0.5%). The type of uterine incision was associated with fetal injury, 3.4% "T" or "J" incision, 1.4% for vertical incision, and 1.1% for a low transverse (P = .003), as was a skin incision-to-delivery time of 3 minutes or less. Fetal injury did not vary in frequency with the type of skin incision, preterm delivery, maternal body mass index, or infant birth weight greater than 4,000 g.
Fetal injuries complicate 1.1% of cesarean deliveries. The frequency of fetal injury at cesarean delivery varies with the indication for surgery as well as with the duration of the skin incision-to-delivery interval and the type of uterine incision.
II-3.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Injuries - epidemiology</subject><subject>Birth Injuries - ethnology</subject><subject>Birth Injuries - etiology</subject><subject>Cesarean Section - adverse effects</subject><subject>Cesarean Section - methods</subject><subject>Delivery. Postpartum. Lactation</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Labor, Obstetric</subject><subject>Medical sciences</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkFFLwzAQx4Mobk6_ghRB31pzTZq0vo3hpjDYi4Jv4Zqk2NG1M2mVfXujK-xe7uB-_zv4EXIHNAFayEcKyXyzSmiolEkAkciUAiQVOyNTyCWLU8Y-zsk07ItY5pxPyJX328CDKNglmYCkkPKMTkmytD02Ud1uB3eI0PtO19hbE_3U_WekrUdnsY2Mbepv6w7X5KLCxtubsc_I-_L5bfESrzer18V8HWvGZR8jp1ZkgMYIiSbPoCilEakF0AKyEgWnMtWyNDrj2oSJFWAZZKJCjcambEYejnf3rvsarO_VrvbaNg22thu8EnkBAlgWwKcjqF3nvbOV2rt6h-6ggKo_W4qCCrbUyZb6t6UqFsK345eh3Flzio56AnA_Aug1NpXDVtf-xOXAUg6M_QLJ0HKp</recordid><startdate>20061001</startdate><enddate>20061001</enddate><creator>ALEXANDER, James M</creator><creator>LEVENO, Kenneth J</creator><creator>WAPNER, Ronald J</creator><creator>SOROKIN, Yoram</creator><creator>MIODOVNIK, Menachem</creator><creator>O'SULLIVAN, Mary J</creator><creator>SIBAI, Baha M</creator><creator>LANGER, Oded</creator><creator>GABBE, Steven G</creator><creator>ROUSE, Dwight J</creator><creator>MACPHERSON, Cora</creator><creator>LANDON, Mark</creator><creator>HAUTH, John</creator><creator>VARNER, Michael W</creator><creator>MOAWAD, Atef H</creator><creator>SPONG, Catherine Y</creator><creator>CARITIS, Steve N</creator><creator>MEIS, Paul J</creator><creator>CARPENTER, Marshall</creator><creator>LANDON, Mark B</creator><creator>PEACEMAN, Alan M</creator><creator>O'SULLIVAN, Mary Jo</creator><creator>THORP, John M</creator><creator>RAMIN, Susan M</creator><creator>MERCER, Brian M</creator><creator>THORN, Elizabeth</creator><creator>HARPER, Margaret</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20061001</creationdate><title>Fetal injury associated with cesarean delivery</title><author>ALEXANDER, James M ; LEVENO, Kenneth J ; WAPNER, Ronald J ; SOROKIN, Yoram ; MIODOVNIK, Menachem ; O'SULLIVAN, Mary J ; SIBAI, Baha M ; LANGER, Oded ; GABBE, Steven G ; ROUSE, Dwight J ; MACPHERSON, Cora ; LANDON, Mark ; HAUTH, John ; VARNER, Michael W ; MOAWAD, Atef H ; SPONG, Catherine Y ; CARITIS, Steve N ; MEIS, Paul J ; CARPENTER, Marshall ; LANDON, Mark B ; PEACEMAN, Alan M ; O'SULLIVAN, Mary Jo ; THORP, John M ; RAMIN, Susan M ; MERCER, Brian M ; THORN, Elizabeth ; HARPER, Margaret</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-a40e651add67ad8519b7d62e11c615ba64072c7bdc54cd2c7391e3156facade23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Injuries - epidemiology</topic><topic>Birth Injuries - ethnology</topic><topic>Birth Injuries - etiology</topic><topic>Cesarean Section - adverse effects</topic><topic>Cesarean Section - methods</topic><topic>Delivery. Postpartum. Lactation</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Labor, Obstetric</topic><topic>Medical sciences</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ALEXANDER, James M</creatorcontrib><creatorcontrib>LEVENO, Kenneth J</creatorcontrib><creatorcontrib>WAPNER, Ronald J</creatorcontrib><creatorcontrib>SOROKIN, Yoram</creatorcontrib><creatorcontrib>MIODOVNIK, Menachem</creatorcontrib><creatorcontrib>O'SULLIVAN, Mary J</creatorcontrib><creatorcontrib>SIBAI, Baha M</creatorcontrib><creatorcontrib>LANGER, Oded</creatorcontrib><creatorcontrib>GABBE, Steven G</creatorcontrib><creatorcontrib>ROUSE, Dwight J</creatorcontrib><creatorcontrib>MACPHERSON, Cora</creatorcontrib><creatorcontrib>LANDON, Mark</creatorcontrib><creatorcontrib>HAUTH, John</creatorcontrib><creatorcontrib>VARNER, Michael W</creatorcontrib><creatorcontrib>MOAWAD, Atef H</creatorcontrib><creatorcontrib>SPONG, Catherine Y</creatorcontrib><creatorcontrib>CARITIS, Steve N</creatorcontrib><creatorcontrib>MEIS, Paul J</creatorcontrib><creatorcontrib>CARPENTER, Marshall</creatorcontrib><creatorcontrib>LANDON, Mark B</creatorcontrib><creatorcontrib>PEACEMAN, Alan M</creatorcontrib><creatorcontrib>O'SULLIVAN, Mary Jo</creatorcontrib><creatorcontrib>THORP, John M</creatorcontrib><creatorcontrib>RAMIN, Susan M</creatorcontrib><creatorcontrib>MERCER, Brian M</creatorcontrib><creatorcontrib>THORN, Elizabeth</creatorcontrib><creatorcontrib>HARPER, Margaret</creatorcontrib><creatorcontrib>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ALEXANDER, James M</au><au>LEVENO, Kenneth J</au><au>WAPNER, Ronald J</au><au>SOROKIN, Yoram</au><au>MIODOVNIK, Menachem</au><au>O'SULLIVAN, Mary J</au><au>SIBAI, Baha M</au><au>LANGER, Oded</au><au>GABBE, Steven G</au><au>ROUSE, Dwight J</au><au>MACPHERSON, Cora</au><au>LANDON, Mark</au><au>HAUTH, John</au><au>VARNER, Michael W</au><au>MOAWAD, Atef H</au><au>SPONG, Catherine Y</au><au>CARITIS, Steve N</au><au>MEIS, Paul J</au><au>CARPENTER, Marshall</au><au>LANDON, Mark B</au><au>PEACEMAN, Alan M</au><au>O'SULLIVAN, Mary Jo</au><au>THORP, John M</au><au>RAMIN, Susan M</au><au>MERCER, Brian M</au><au>THORN, Elizabeth</au><au>HARPER, Margaret</au><aucorp>National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fetal injury associated with cesarean delivery</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2006-10-01</date><risdate>2006</risdate><volume>108</volume><issue>4</issue><spage>885</spage><epage>897</epage><pages>885-897</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery.
Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abstracted directly from hospital charts.
A total of 37,110 cesarean deliveries were included in the registry, and 418 (1.1%) had an identified fetal injury. The most common injury was skin laceration (n = 272, 0.7%). Other injuries included cephalohematoma (n = 88), clavicular fracture (n = 11), brachial plexus (n = 9), skull fracture (n = 6), and facial nerve palsy (n = 11). Among primary cesarean deliveries, deliveries with a failed forceps or vacuum attempt had the highest rate of injuries (6.9%). In women with a prior cesarean delivery, the highest rate of injury also occurred in the unsuccessful trial of forceps or vacuum (1.7%), and the lowest rate occurred in the elective repeat cesarean group (0.5%). The type of uterine incision was associated with fetal injury, 3.4% "T" or "J" incision, 1.4% for vertical incision, and 1.1% for a low transverse (P = .003), as was a skin incision-to-delivery time of 3 minutes or less. Fetal injury did not vary in frequency with the type of skin incision, preterm delivery, maternal body mass index, or infant birth weight greater than 4,000 g.
Fetal injuries complicate 1.1% of cesarean deliveries. The frequency of fetal injury at cesarean delivery varies with the indication for surgery as well as with the duration of the skin incision-to-delivery interval and the type of uterine incision.
II-3.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>17012450</pmid><doi>10.1097/01.AOG.0000237116.72011.f3</doi><tpages>13</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0029-7844 |
| ispartof | Obstetrics and gynecology (New York. 1953), 2006-10, Vol.108 (4), p.885-897 |
| issn | 0029-7844 1873-233X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68916135 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Birth Injuries - epidemiology Birth Injuries - ethnology Birth Injuries - etiology Cesarean Section - adverse effects Cesarean Section - methods Delivery. Postpartum. Lactation European Continental Ancestry Group Female Gynecology. Andrology. Obstetrics Humans Incidence Infant, Newborn Labor, Obstetric Medical sciences Parity Pregnancy Prospective Studies |
| title | Fetal injury associated with cesarean delivery |
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