Fetal and Maternal Risk Factors Associated With Birth Trauma

  • Intisr A.Alghafoor
  • Ghusoon Saadoon.Hasan
Keywords: birth trauma, maternal variable, gestational age.

Abstract

Back ground Birth traumas contribute significantly to the perinatal morbidity and mortality, sometimes with long term squeals in developing countries.Objective: To identify  the  main risk factors associated with birth trauma.Setting: Maternity Teaching  Hospital/Baby Care Unit /mosul.Design: Case-control study.Patients: There were 136 cases and 136 controls.Measures: The following variables  were recorded : a) maternal variable: age  and parity , deliveryvariables: spontaneous vaginal deliveries ,assissted instrumental vacuum or forceps delivries, deliveries by cesarean section ; b) newborn variable : type of injury ,site of injury  ,birth weight, gestational age, fetal presentation .Results: Mode of delivery , primiparous , maternal age <35years,delivery by cesarean section were the  main risk factors associated to birth injuries.  Regarding fetal variables     term    pregnancy with  cephalic presentation and   fetal weight >3.5kg were  found to be highly associated with birth trauma.   Conclusion: Risk factors associated with birth injuries identified in this study involved maternal conditions , neonatal conditions and mechanism of delivery.

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Published
2019-03-02
Section
Articles