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[Fractures in neonates as a result of birth trauma caused by caesarean section]
R Rasenack1, C Möllmann, J Farthmann
1Universitätsfrauenklinik, Freiburg. regina.rasenack@uniklinik-freiburg.de
Insights
Caesarean sections (CS) can lead to neonatal bone fractures, particularly in breech presentations. Early diagnosis and treatment ensure a good prognosis for affected infants.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Pediatric Orthopedics
Background:
- Investigated the incidence and predisposing factors of neonatal bone injuries.
- Prompted by four cases of bone fractures associated with Caesarean sections (CS).
Observation:
- Retrospective evaluation of four cases with birth-related fractures.
- Fractures occurred during Caesarean section births.
Findings:
- While overall birth trauma has decreased with increased CS rates, neonatal fractures remain a risk.
- Breech presentation during CS is a predisposing factor for femoral fractures.
- Early diagnosis and proper treatment lead to good outcomes without sequelae.
Implications:
- Neonatal bone fractures are a potential complication of Caesarean sections, especially with breech presentation.
- Informed consent discussions should include the risk of neonatal trauma during CS.
- Effective management ensures positive clinical outcomes for neonates.
Background:
The occurrence of 4 bone fractures associated with birth by Caesarean section (CS) prompted us to examine the incidence and predisposing factors of bone injuries sustained during birth.
Case Report And Method:
The 4 cases with fractures were evaluated retrospectively and discussed in combination with a short review of the literature.
Conclusions:
With the increasing number of Caesarean sections the incidence of birth trauma has decreased. Nevertheless, when performing a CS there is still a risk of serious trauma to the neonate, including bone fractures. A Caesarean section for breech presentation constitutes a predisposition for femoral fractures. When diagnosed early and treated properly, the prognosis for these fractures is good without sequelae and one can expect a satisfactory clinical outcome for the child. We suggest that the possibility of this complication be mentioned when counselling the mother and getting informed consent.
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