Obstetrical trauma--therapeutic dilemmas?

Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):1030-3.

Abstract

Obstetrical trauma is frequent among newborns alive and could represent a cause of perinatal death. The aim of this paper consists of presenting the authors experience regarding the diagnosis and treatment of skeletal and thoracic-abdominal organs related to traumatic birth.

Material and methods: Between 2000 and 2010, 33 patients with trauma at birth were included in the study. The type of the lesion and the therapeutical approach and results were analyzed.

Results: Two categories of results were clearly differentiated: excellent for obstetric trauma involving limbs and soft parts and negative, disappointing results with 10 deaths in 12 cases treated for obstetric trauma of abdominal organs.

Conclusions: Bone and soft tissue birth trauma are relatively easy to identify and treat, but the medical approach of thoraco-abdomnial organs birth trauma need clinical experience and technical possibilities.

MeSH terms

  • Abdominal Injuries / surgery
  • Birth Injuries / diagnosis*
  • Birth Injuries / etiology
  • Birth Injuries / mortality
  • Birth Injuries / therapy*
  • Delivery, Obstetric / adverse effects*
  • Delivery, Obstetric / methods
  • Female
  • Humans
  • Infant, Newborn
  • Lower Extremity / injuries
  • Lower Extremity / surgery
  • Male
  • Obstetric Labor Complications*
  • Pregnancy
  • Retrospective Studies
  • Severity of Illness Index
  • Thoracic Injuries / surgery
  • Upper Extremity / injuries
  • Upper Extremity / surgery