Journal article
Route of delivery and neonatal birth trauma
American journal of obstetrics and gynecology, Vol.202(4), pp.361.e1-361.e6
04/01/2010
DOI: 10.1016/j.ajog.2009.11.041
PMID: 20079477
Abstract
OBJECTIVE: We sought to examine rates of birth trauma in 2 groupings (all International Classification of Diseases, Ninth Revision codes for birth trauma, and as defined by the Agency for Healthcare Research and Quality Patient Safety Indicator [PSI]) among infants born by vaginal and cesarean delivery.
STUDY DESIGN: Data on singleton infants were obtained from the 2004-2005 Healthcare Cost and Utilization Project Nationwide Inpatient Sample.
RESULTS: The rates of Agency for Healthcare Research and Quality PSI and all birth trauma were 2.45 and 25.85 per 1000 births, respectively. Compared with vaginal, cesarean delivery was associated with increased odds of PSI birth trauma (odds ratio [OR], 1.71), primarily due to an increased risk for "other specified birth trauma" (OR, 2.61). Conversely, cesarean delivery was associated with decreased odds of all birth trauma (OR, 0.55), due to decreased odds of clavicle fractures (OR, 0.07), brachial plexus (OR, 0.10), and scalp injuries (OR, 0.55).
CONCLUSION: Infants delivered by cesarean are at risk for different types of birth trauma from infants delivered vaginally.
Details
- Title: Subtitle
- Route of delivery and neonatal birth trauma
- Creators
- Charmaine K. Moczygemba - Emory UniversityPangaja Paramsothy - Contracept Res & Dev Program, Arlington, VA USASusan Meikle - National Institutes of HealthAthena P. Kourtis - National Center for Chronic Disease Prevention and Health PromotionWanda D. Barfield - National Center for Chronic Disease Prevention and Health PromotionElena Kuklina - Northrop GrummanSamuel F. Posner - National Center for Chronic Disease Prevention and Health PromotionMaura K. Whiteman - National Center for Chronic Disease Prevention and Health PromotionDenise J. Jamieson - Emory University
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.202(4), pp.361.e1-361.e6
- Publisher
- Elsevier
- DOI
- 10.1016/j.ajog.2009.11.041
- PMID
- 20079477
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Number of pages
- 6
- Language
- English
- Date published
- 04/01/2010
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446514702771
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