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- Title
Incidence and Risk Factors of Major Neonatal Birth Injuries in a Tertiary Care Hospital in Thailand: A Retrospective Cohort Study.
- Authors
Arunee Phuengphaeng; Ratree Sirisomboon; Dittakarn Boriboonhirunsam
- Abstract
Major neonatal birth injuries can cause short- and long-term negative neonatal outcomes. To date, there is still limited information on major neonatal birth injuries in Thailand, both in terms of incidence and associated factors. The objectives of this retrospective cohort study were to determine the incidence and associated factors of major neonatal birth injuries in a tertiary care hospital in Thailand. Medical records of 15,209 deliveries were reviewed and major neonatal birth injuries were identified. For each case of major neonatal birth injuries, another four controls were randomly selected as a comparison group to determine possible associated factors. A total of 81 cases with major neonatal birth injuries were identified, corresponding to incidence of 0.53%. Most common injuries were subgaleal hematoma (0.414%), fracture of clavicle (0.066%), and brachial plexus injuries (0.066%). Those with major neonatal birth injuries compared to those without injuries were significantly more likely to be nulliparous, had higher birth weight, higher rate of large for gestational age and macrosomia. They had significantly higher rate of birth asphyxia and neonatal intensive care unit admission with a longer hospital stay. Independent associated factors were abnormal second stage of labor, instrumental delivery, and large for gestational age infants. Understanding the incidence and associated factors could help raising awareness when caring women at higher risks for neonatal birth injuries. Anticipation, preparation, and early detection of the conditions would result in timely management and improvement of neonatal outcomes.
- Subjects
THAILAND; FETAL macrosomia; HEMATOMA; NEONATAL intensive care; CONFIDENCE intervals; BIRTH injuries; CLAVICLE fractures; TERTIARY care; RETROSPECTIVE studies; ACQUISITION of data; NEONATAL intensive care units; MANN Whitney U Test; RISK assessment; PREGNANCY outcomes; COMPARATIVE studies; T-test (Statistics); MEDICAL records; BRACHIAL plexus; BIRTH weight; SECOND stage of labor (Obstetrics); DESCRIPTIVE statistics; CHI-squared test; STATISTICAL sampling; BIRTH size; LOGISTIC regression analysis; ODDS ratio; LONGITUDINAL method; ASPHYXIA; DISEASE risk factors
- Publication
Pacific Rim International Journal of Nursing Research, 2022, Vol 26, Issue 2, p243
- ISSN
1906-8107
- Publication type
Article