Volume 10, Issue 1 (3-2024)
CJP 2024, 10(1): e10 |
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Shrimathy M S, Devimeenakshi K. Prevalence of Birth Trauma and its Risk Factors in a Medical College Hospital-A Cross-Sectional Study. CJP 2024; 10 (1)
URL: http://caspianjp.ir/article-1-245-en.html
URL: http://caspianjp.ir/article-1-245-en.html
Department of Pediatrics, Kilpauk Medical College, India , drdevi_1804@yahoo.in
Abstract: (238 Views)
Background and Objective: Birth trauma refers to injury sustained by the newborn due to mechanical forces during the birth process. It's associated with increased mortality and morbidity. The aim of this study was to determine the incidence of birth trauma in various modes of delivery and to analyze the risk factors for birth trauma.
Methods: This cross-sectional study was conducted from March-October 2021 in a medical college hospital in Chennai-India. All live-born singleton term neonates delivered in the hospital during the study period were screened for birth trauma through a detailed clinical examination and relevant investigations. The risk factors contributing to birth trauma were investigated. The frequency of birth trauma was compared in various modes of delivery. Univariate and multivariate analysis was done for the risk factors. Results were expressed as odds ratio (95% confidence interval). P-value<0.05 was considered statistically significant.
Findings: Among the 2300 live births screened, there were 22 neonates who developed birth trauma, which corresponds to an incidence of 9.5/1000 live births. Birth trauma occurred more frequently in instrumental delivery. The most common birth trauma was subgaleal hemorrhage followed by cephalhaematoma. Risk factors such as short stature, fetal presentation, abnormal birth weight and maternal illnesses were significant determinants of birth trauma.
Conclusion: Assessing the risk of birth trauma is very important in determining the mode of delivery especially when the pregnancy is complicated by maternal short stature, maternal illness, abnormal fetal presentation, abnormal birth weight that have been found to increase the likelihood of birth trauma.
Methods: This cross-sectional study was conducted from March-October 2021 in a medical college hospital in Chennai-India. All live-born singleton term neonates delivered in the hospital during the study period were screened for birth trauma through a detailed clinical examination and relevant investigations. The risk factors contributing to birth trauma were investigated. The frequency of birth trauma was compared in various modes of delivery. Univariate and multivariate analysis was done for the risk factors. Results were expressed as odds ratio (95% confidence interval). P-value<0.05 was considered statistically significant.
Findings: Among the 2300 live births screened, there were 22 neonates who developed birth trauma, which corresponds to an incidence of 9.5/1000 live births. Birth trauma occurred more frequently in instrumental delivery. The most common birth trauma was subgaleal hemorrhage followed by cephalhaematoma. Risk factors such as short stature, fetal presentation, abnormal birth weight and maternal illnesses were significant determinants of birth trauma.
Conclusion: Assessing the risk of birth trauma is very important in determining the mode of delivery especially when the pregnancy is complicated by maternal short stature, maternal illness, abnormal fetal presentation, abnormal birth weight that have been found to increase the likelihood of birth trauma.
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