PATTERN OF EXTERNAL BIRTH TRAUMA IN SOUTHWESTERN SAUDI ARABIA
The pattern and associations of 62 instances of external birth trauma (EBT) in 57 of 2222 consecutive hospital-born neonates were studied. Macrosomia and vaginal instrumental or breech delivery were identified as significant risk factors for EBT. In contrast to previous reports, subgaleal hemorrhage...
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| Veröffentlicht in: | The Journal of trauma 1993-11, Vol.35 (5), p.737-741 |
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| container_title | The Journal of trauma |
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| creator | Benjamin, Benny Hassan Khan, Mohammed Rafiqul |
| description | The pattern and associations of 62 instances of external birth trauma (EBT) in 57 of 2222 consecutive hospital-born neonates were studied. Macrosomia and vaginal instrumental or breech delivery were identified as significant risk factors for EBT. In contrast to previous reports, subgaleal hemorrhage (SGH) was the predominant form of trauma (n = 33) and it was associated with vacuum application in 28 of 33 (85%) neonates. Brachial plexus palsy (BPP) (n = 10) occurred with the highest frequency (6.4%) after breech delivery. Fractures were uncommon. Multiple injuries (10 items in 5 babies) were mainly associated with vacuum extraction. The high rate of vacuum extraction (VE) and problems with its use including a high VE failure rate (30/242 = 12.4%) were considered contributory to the unusual pattern of EBT seen in the study. Regular audit of delivery practices, greater care in excluding cephalopelvic disproportion and judicious use of VE are recommended to reduce the morbidity from EBT. |
| doi_str_mv | 10.1097/00005373-199311000-00015 |
| format | Article |
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Macrosomia and vaginal instrumental or breech delivery were identified as significant risk factors for EBT. In contrast to previous reports, subgaleal hemorrhage (SGH) was the predominant form of trauma (n = 33) and it was associated with vacuum application in 28 of 33 (85%) neonates. Brachial plexus palsy (BPP) (n = 10) occurred with the highest frequency (6.4%) after breech delivery. Fractures were uncommon. Multiple injuries (10 items in 5 babies) were mainly associated with vacuum extraction. The high rate of vacuum extraction (VE) and problems with its use including a high VE failure rate (30/242 = 12.4%) were considered contributory to the unusual pattern of EBT seen in the study. Regular audit of delivery practices, greater care in excluding cephalopelvic disproportion and judicious use of VE are recommended to reduce the morbidity from EBT.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-199311000-00015</identifier><identifier>PMID: 8230339</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Biological and medical sciences ; Birth Injuries - epidemiology ; Birth Injuries - etiology ; Birth Weight ; Brachial Plexus - injuries ; Craniocerebral Trauma - etiology ; Cross-Sectional Studies ; Delivery, Obstetric - adverse effects ; Delivery, Obstetric - methods ; Facial Paralysis - etiology ; Female ; Humans ; Infant, Newborn ; Male ; Medical sciences ; Miscellaneous ; Obstetrical Forceps - adverse effects ; Paralysis - etiology ; Population ; Pregnancy ; Risk Factors ; Saudi Arabia - epidemiology ; Traumas. 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All Rights Reserved.</rights><rights>1994 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3845-3f7fb10d6dbb47b1f15e9fbc6ce4dae339617589fa40d5cd005df1b3e2f7086c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3832648$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8230339$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benjamin, Benny</creatorcontrib><creatorcontrib>Hassan Khan, Mohammed Rafiqul</creatorcontrib><title>PATTERN OF EXTERNAL BIRTH TRAUMA IN SOUTHWESTERN SAUDI ARABIA</title><title>The Journal of trauma</title><addtitle>J Trauma</addtitle><description>The pattern and associations of 62 instances of external birth trauma (EBT) in 57 of 2222 consecutive hospital-born neonates were studied. Macrosomia and vaginal instrumental or breech delivery were identified as significant risk factors for EBT. In contrast to previous reports, subgaleal hemorrhage (SGH) was the predominant form of trauma (n = 33) and it was associated with vacuum application in 28 of 33 (85%) neonates. Brachial plexus palsy (BPP) (n = 10) occurred with the highest frequency (6.4%) after breech delivery. Fractures were uncommon. Multiple injuries (10 items in 5 babies) were mainly associated with vacuum extraction. The high rate of vacuum extraction (VE) and problems with its use including a high VE failure rate (30/242 = 12.4%) were considered contributory to the unusual pattern of EBT seen in the study. Regular audit of delivery practices, greater care in excluding cephalopelvic disproportion and judicious use of VE are recommended to reduce the morbidity from EBT.</description><subject>Biological and medical sciences</subject><subject>Birth Injuries - epidemiology</subject><subject>Birth Injuries - etiology</subject><subject>Birth Weight</subject><subject>Brachial Plexus - injuries</subject><subject>Craniocerebral Trauma - etiology</subject><subject>Cross-Sectional Studies</subject><subject>Delivery, Obstetric - adverse effects</subject><subject>Delivery, Obstetric - methods</subject><subject>Facial Paralysis - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Obstetrical Forceps - adverse effects</subject><subject>Paralysis - etiology</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Risk Factors</subject><subject>Saudi Arabia - epidemiology</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Vacuum Extraction, Obstetrical - adverse effects</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kVtPwjAUgBujQUR_gskejG_TXnbpHnwoOGQJghlb9K3pujagg-HKQvz3lou82aRpm_Od056vADgIPiAYhY_QDp-ExEVRRBCyJ9dO5J-BLvJx5FIKo3PQhRBj18cUX4IrYz4t4nmEdkCHYgIJibrg6Y1lWZxOnOnQiT92OzZ2-kmajZwsZfkrc5KJM5vm2eg9nu3BGcufE4elrJ-wa3ChRWXUzXHtgXwYZ4ORO56-JAM2diWhnu8SHeoCwTIoi8ILC6SRryJdyEAqrxTKPiRAoU8jLTxY-rK0vZUaFURhHUIaSNID94e666b-bpXZ8OXCSFVVYqXq1vAwgAEmtrceoAdQNrUxjdJ83SyWovnhCPKdOf5njp_M8b05m3p7vKMtlqo8JR5V2fjdMS6MFJVuxEouzAkjlODAoxbzDti2rjaqMV9Vu1UNnytRbeb8v38jv3eqfus</recordid><startdate>199311</startdate><enddate>199311</enddate><creator>Benjamin, Benny</creator><creator>Hassan Khan, Mohammed Rafiqul</creator><general>Williams & Wilkins</general><general>Lippincott Williams & Wilkins</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>199311</creationdate><title>PATTERN OF EXTERNAL BIRTH TRAUMA IN SOUTHWESTERN SAUDI ARABIA</title><author>Benjamin, Benny ; Hassan Khan, Mohammed Rafiqul</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3845-3f7fb10d6dbb47b1f15e9fbc6ce4dae339617589fa40d5cd005df1b3e2f7086c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Biological and medical sciences</topic><topic>Birth Injuries - epidemiology</topic><topic>Birth Injuries - etiology</topic><topic>Birth Weight</topic><topic>Brachial Plexus - injuries</topic><topic>Craniocerebral Trauma - etiology</topic><topic>Cross-Sectional Studies</topic><topic>Delivery, Obstetric - adverse effects</topic><topic>Delivery, Obstetric - methods</topic><topic>Facial Paralysis - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Obstetrical Forceps - adverse effects</topic><topic>Paralysis - etiology</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Risk Factors</topic><topic>Saudi Arabia - epidemiology</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Vacuum Extraction, Obstetrical - adverse effects</topic><toplevel>online_resources</toplevel><creatorcontrib>Benjamin, Benny</creatorcontrib><creatorcontrib>Hassan Khan, Mohammed Rafiqul</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>The Journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benjamin, Benny</au><au>Hassan Khan, Mohammed Rafiqul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PATTERN OF EXTERNAL BIRTH TRAUMA IN SOUTHWESTERN SAUDI ARABIA</atitle><jtitle>The Journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1993-11</date><risdate>1993</risdate><volume>35</volume><issue>5</issue><spage>737</spage><epage>741</epage><pages>737-741</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>The pattern and associations of 62 instances of external birth trauma (EBT) in 57 of 2222 consecutive hospital-born neonates were studied. Macrosomia and vaginal instrumental or breech delivery were identified as significant risk factors for EBT. In contrast to previous reports, subgaleal hemorrhage (SGH) was the predominant form of trauma (n = 33) and it was associated with vacuum application in 28 of 33 (85%) neonates. Brachial plexus palsy (BPP) (n = 10) occurred with the highest frequency (6.4%) after breech delivery. Fractures were uncommon. Multiple injuries (10 items in 5 babies) were mainly associated with vacuum extraction. The high rate of vacuum extraction (VE) and problems with its use including a high VE failure rate (30/242 = 12.4%) were considered contributory to the unusual pattern of EBT seen in the study. Regular audit of delivery practices, greater care in excluding cephalopelvic disproportion and judicious use of VE are recommended to reduce the morbidity from EBT.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>8230339</pmid><doi>10.1097/00005373-199311000-00015</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of trauma, 1993-11, Vol.35 (5), p.737-741 |
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| subjects | Biological and medical sciences Birth Injuries - epidemiology Birth Injuries - etiology Birth Weight Brachial Plexus - injuries Craniocerebral Trauma - etiology Cross-Sectional Studies Delivery, Obstetric - adverse effects Delivery, Obstetric - methods Facial Paralysis - etiology Female Humans Infant, Newborn Male Medical sciences Miscellaneous Obstetrical Forceps - adverse effects Paralysis - etiology Population Pregnancy Risk Factors Saudi Arabia - epidemiology Traumas. Diseases due to physical agents Vacuum Extraction, Obstetrical - adverse effects |
| title | PATTERN OF EXTERNAL BIRTH TRAUMA IN SOUTHWESTERN SAUDI ARABIA |
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