J Korean Orthop Assoc.  1987 Feb;22(1):41-44. 10.4055/jkoa.1987.22.1.41.

Birth Trauma

• Kang KS
• Park BM
• Jahng JS
• Kang JS

• KMID: 2445677
• DOI: http://doi.org/10.4055/jkoa.1987.22.1.41

Abstract

Birth injury is defined as any condition that affects the fetus adversely during the labor or delivery. These traumatic injuries are subdivided further into those that from hypoxia and mechanical factors. We analyzed 57 patients of birth trauma including fractures, nerve injuries and head injuries during the delivery at Severance Hospital from Jan. 1980. to Dec. 1985 and 24 patients which were transfered from other hospital after delivery and the following results were obtained. 1. The rates of birth trauma in our hospital were 0.36% including clavicle fractures 0.27%,femoral fractures 0.006%, brachial plexus injuries 0.031%, skull fractures 0.025% and intracranial hemorrhage 0.025%. 2. The site of clavicle fractures were all middle one third, and 71.4% of cases were displaced. 3. Five cases of brachial plexus injuries were found, and each type was Erb's palsy 3 cases, Klumpke's palsy 1 case and whole arm palsy 1 case. Three cases were recovered completely and 2 cases were recovered partially. 4. Methods of delivery were as followed; normal delivery 50.6%, breech delivery 3.7%, forcep 7.5%, vacuum 21.0%, and Cesarian section 17.2%. 5. The primipara was 65.4% of the patients of birth trauma. 6. There was no statistical significances in the birth weight, head circumferences, and chest circumferences of the patients comparing to the normal infants.

Keyword

Birth trauma

MeSH Terms

Anoxia
Arm
Birth Injuries
Birth Weight
Brachial Plexus
Brachial Plexus Neuropathies
Clavicle
Craniocerebral Trauma
Fetus
Head
Humans
Infant
Intracranial Hemorrhages
Paralysis
Parturition*
Skull Fractures
Surgical Instruments
Thorax
Vacuum