Obstetric fractures

Details

Serval ID
serval:BIB_260AEF943798
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Obstetric fractures
Journal
European Journal of Pediatric Surgery
Author(s)
Nadas  S., Reinberg  O.
ISSN
0939-7248 (Print)
Publication state
Published
Issued date
06/1992
Volume
2
Number
3
Pages
165-8
Notes
Journal Article --- Old month value: Jun
Abstract
The purpose of this study was to determine the risk factors predisposing to an obstetric fracture, and their long-term outcome. We reviewed 28 obstetric fractures treated in the County of Vaud, Switzerland, between 1976 and 1989. There were 12 fractures of long bones, 10 clavicles and 6 depressed skull fractures. The belief that obstetric fractures occur in large babies or after breech deliveries is no longer valid. The common risk factors of these fractures are obstetric maneuvers during delivery (75% of cases), especially Cesarean sections (35%), prolonged labor (33%), and prematurity (25%). Cephalic presentation (64.2% of cases) is more frequent than breech position (32.1%). Weight, size, age of gestation, age of the mother, parity, gestity, and time of delivery cannot be considered as risk factors for obstetric fractures. For each type of fracture some specific risk factors are pointed out: maneuvers at birth for depressed skull fracture, Cesarean section, breech delivery with assistance and low birth weight for the fractures of long bones. All fractures were treated conservatively, except for skull fractures with a depression of more than 2 cm. Early consolidation is achieved within 2 weeks. Long-term prognosis for obstetric fractures is good without sequelae.
Keywords
Birth Injuries/*etiology Breech Presentation Cesarean Section Clavicle/injuries Dystocia/complications *Extraction, Obstetrical Female Fractures, Bone/*etiology Humans Infant, Newborn Obstetrical Forceps Pregnancy Retrospective Studies Risk Factors Skull Fractures/etiology
Pubmed
Web of science
Create date
28/01/2008 9:12
Last modification date
20/08/2019 13:04
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