Unusual obstetric trauma in newborn
DOI:
https://doi.org/10.47338/jns.v9.543Keywords:
Newborn, Birth trauma, Birth injury, Obstetric traumaAbstract
Background: Birth injuries during delivery are rare but can be the most common cause of morbidity and mortality. All parts of the body can be damaged. The aim of this study is to determine the impact of these uncommon injuries on the newborn. This is a retrospective chart review of 11 newborn babies who had concurrent birth trauma. Pertinent data on the cause of injury treatment and the outcome were recorded.
Methods: It is a retrospective chart review of newborns who sustained a birth trauma during delivery. These patients presented to the Department of Pediatric Surgery, SETIF, Algeria from 2010 to 2020.
Results: A total of 11 cases with birth trauma occurred during delivery were managed during the study tenure. Of these 11, 9 were males and 2 females. Two cases sustained scalp laceration including one extensive laceration exposing the brain tissue with uncontrollable hemorrhage. One newborn sustained facial trauma secondary to the forceps delivery. One newborn who needed resuscitation and ventilation at birth developed bilateral pneumothorax secondary to the barotrauma. One patient sustained a femur fracture whereas another had a humerus fracture along with brachial plexus injury during delivery. Three cases had umbilical cord injury including two cases of clamped hernia of the umbilical cord resulting in neonatal intestinal obstruction. Two cases had scrotal trauma including one with testicular evisceration. Two cases were expired in this cohort.
Conclusion: We have presented a diversity of birth trauma in newborns and their management. Proper antenatal follow-up and better planning for the delivery can avoid such injuries in newborns which often require surgical interventions for the management and at times can lead to mortality as well.
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McKee-Garrett T. Delivery room emergencies due to birth injuries. Semin Fetal Neonat Med. 2019; 24:101047.
Linder N, Linder I, Fridman E, Kouadio F, Lubin D, Merlob P, et al. Birth trauma–risk factors and short-term neonatal outcome. J Matern Fetal Neonatal Med. 2013; 26:1491-5.
Dolivet E, Delesalle C, Morello R, Blouet M, Bronfen C, Dreyfus M, et al. A case–control study about foetal trauma during caesarean delivery. J Gynecol Obstet Hum Reprod. 2018; 47:325-9.
Noetzel MJ. Perinatal trauma and cerebral palsy. Clinics in perinatology. 2006; 33:355-66.
Reed RC. Iatrogenic injury and unexpected hospital death in the newborn. Semin Perinatol. 2015; 39:64-9.
Nachtergaele PF, Calenbergh FV, Lagae L. Craniocerebral birth injuries in term newborn infants: a retrospective series. Childs Nerv Sys. 2017; 33: 1927-35.
Sorantin E, Brader P, Thimary F. Neonatal trauma. Eur J Radiol. 2006; 60: 199-207.
Shah-Becker S, Oberman BS, May JG. Scalping of a newborn: Complication during cesarean section. Int J Pediatr Otorhinolaryngol Extra. 2015; 10:53-5.
Uhing MR. Management of birth injuries. Clinics in Perinatol. 2005; 32:19-38.
Reilingh TSV, Koens BL, Vos A. Surgical treatment of diaphragmatic eventration caused by phrenic nerve injury in the newborn. J Pediatr Surg. 1998; 33:602-5.
Ehrenfest H. From Gynecological and obstetrical monographs. In: Birth injuries of the child. Vol. 6. Appleton. 1922; 221.
Toker A, Perry Z, Eugen C, Krymko H. Cesarean section and the risk of fractured femur. IMAJ. 2009; 11:416.
John B, Roy S, Gupta G, Wilson C. A case of fracture in a newborn delivered by C-section. Med J Armed Forces Ind. 2004; 60:194.
Chauhan S, Rose C, Gherman R, Magann E, Holland M, Morrison J. Brachial plexus injury: a 23-year experience from a tertiary center. Am J Obstet Gynecol. 2005; 192:1795-1800.
Scheans P. Birth injuries resulting in neurologic insult. Newborn and Infant Nursing Review. 2016; 16:13-6
Rai R, Kolhe S, Shukla K. Right Femur fracture during Caesarean Delivery. J Neonatol. 2017; 31: 44-7
Kirkegaard A, Bjerring OS, Rasmussen L. The umbilical cord of newborn babies should be clamped at least five centimetres from the abdominal wall. Ugeskrift for laeger. 2011; 173:2270
Gasparella M, Zanatta C, Ferro M, Marzaro M, Zoppellaro F. Latrogenic intestinal laceration secondary to clamping of unrecognized umbilical cord hernia: A case report. J Women Health Care, 2014; 3:5
Bhat BV, Jadgish S, Srinivasaan S, Pandey KK, Chatterjee HH. Intrauterine perineal tear: A rare birth injury. J Pediatr Surg. 1992; 27:1614-5
Patel HI, Moriarty KP, Brisson PA, Feins NR. Genitourinary injuries in the newborn. J Pediatr Surg. 2001; 36:235-9.
Lardellier F, Varlet F, François M, Audry G, Buisson P, Dubois R, et al. Traumatisme du testicule chez l’enfant. Basic and Clinical Andrology. 2010; 20:194-202.
George S. Castration at birth. BMJ. 1988; 297:1313
Bickler S, Ramachandran V, Gittes GK, Alonso M, Snyder CL. Nonoperative management of newborn splenic injury: a case report. J Pediatr Surg. 2000; 35: 500-501.
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