Delgado-Becerra A, Fernández-Carrocera LA, Arroyo-Cabrales LM

Language: Spanish
References: 23
Page: 169-175
PDF size: 138.92 Kb.

ABSTRACT

Introduction: Birth injuries are less frequent due to the improvement of the obstetric techniques and better surveillance of the birth process, becoming an indicator of the obstetric attention quality. Objective: Acknowledge the incidence of birth injury and predominant wounds. Material and methods: Observational, prospective study where we included newborns with birth injury diagnosis which wound lasted more than 24 hours, excluding caput succedanea. 168 newborns fulfilled the inclusion criteria. Variables: gestational age, sex, weight, Apgar 1 and 5 minutes, birth tract, forceps: type and indication and receiving service. Two groups were formed: the ones born by vaginal tract and the ones born by the abdominal tract. Analysis: central tendency measurements and difference of proportions within the two populations with an accuracy level of 95%. Results: Incidence of 3.6%. Gestational age average of 38.2 ± 2.8. Male sex predominant with 67.7%, weight average: 2,948 g ± 662.9. Within the product with Apgar result below 6: 4 presented depression and asphyxia due to obstetric maneuvers. 206 injuries were accounted, the ones with equimosis came in first place (37.3%). Birth tract: 23.8% abdominal and 76.2% vaginal (p ‹ 0.05). From 21 severe traumatism, facial palsy predominated in 24%. Braquial palsy, asphyxia (directly related to traumatism) and skull fracture were only found in the vaginal tract. In the abdominal, a femur fracture and a deep skull fracture that included periostio. Conclusions: Traumatism incidence: 3.6%, vaginal tract and forceps became mayor contributers to traumatism; the most frequent wound: equimosis.

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