Fetal injury associated with cesarean delivery.

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Publication Type Journal Article
School or College School of Medicine
Department Pediatrics; Obstetrics & Gynecology
Creator Varner, Michael W.
Other Author Alexander, James M.; Leveno, Kenneth J.; Hauth, John; Landon, Mark B.; Thom, Elizabeth; Spong, Catherine Y.; Moawad, Atef H.; Wapner, Ronald J.; Caritis, Steve N.; Harper, Margaret; Sorokin,Yoram; Miodovnik, Menachem; O'Sullivan, Mary J.; Sibai, Baha M.; Langer, Oded; Gabbe, Steven G.; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network.
Title Fetal injury associated with cesarean delivery.
Date 2006-10
Description OBJECTIVE: To describe the incidence and type of fetal injury identified in women undergoing cesarean delivery. METHODS: Between January 1, 1999, and December 31, 2000, a prospective cohort study of all cesarean deliveries was conducted at 13 university centers. Information regarding maternal and infant outcomes was abstracted directly from hospital charts. RESULTS: A total of 37,110 cesarean deliveries were included in the registry, and 418 (1.1%) had an identified fetal injury. The most common injury was skin laceration (n = 272, 0.7%). Other injuries included cephalohematoma (n = 88), clavicular fracture (n = 11), brachial plexus (n = 9), skull fracture (n = 6), and facial nerve palsy (n = 11). Among primary cesarean deliveries, deliveries with a failed forceps or vacuum attempt had the highest rate of injuries (6.9%). In women with a prior cesarean delivery, the highest rate of injury also occurred in the unsuccessful trial of forceps or vacuum (1.7%), and the lowest rate occurred in the elective repeat cesarean group (0.5%). The type of uterine incision was associated with fetal injury, 3.4% "T" or "J" incision, 1.4% for vertical incision, and 1.1% for a low transverse (P = .003), as was a skin incision-to-delivery time of 3 minutes or less. Fetal injury did not vary in frequency with the type of skin incision, preterm delivery, maternal body mass index, or infant birth weight greater than 4,000 g. CONCLUSION: Fetal injuries complicate 1.1% of cesarean deliveries. The frequency of fetal injury at cesarean delivery varies with the indication for surgery as well as with the duration of the skin incision-to-delivery interval and the type of uterine incision. LEVEL OF EVIDENCE: II-3.
Type Text
Publisher Lippincott, Williams & Wilkins
Volume 108
Issue 4
First Page 885
Last Page 890
Subject Birth Injuries; Cesarean Section; Adverse Effects
Subject MESH Birth Injuries; Birth Injuries/epidemiology/ethnology/*etiology; Cesarean Section/*adverse effects/methods
Language eng
Bibliographic Citation Alexander JM, Leveno KJ, Hauth J, Landon MB, Thom E, Spong CY, Varner MW, Moawad AH, Caritis SN, Harper M, Wapner RJ, Sorokin Y, Miodovnik M, O'Sullivan MJ, Sibai BM, Langer O, Gabbe SG; National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. Fetal injury associated with cesarean delivery. Obstet Gynecol. 2006 Oct;108(4):885-90. Retrieved on May 30th 2007 from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?orig_db=PubMed&db=PubMed&cmd=Search&term=108%5Bvolume%5D+AND+4%5Bissue%5D+AND+885%5Bpage%5D+AND+Varner+MW%5Bauthor%5D
Rights Management Copyright © Wolters Kluwer, Obstetrics and Gynecology, 108, 885-90, 2006
Format Medium application/pdf
Identifier ir-main,1599
ARK ark:/87278/s6cc1hsm
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2021-05-06
ID 702608
Reference URL https://collections.lib.utah.edu/ark:/87278/s6cc1hsm
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