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[Causes of clavicular fracture in newborns (author's transl)]
Zentralblatt Fur Gynakologie
|January 1, 1979
Insights
Newborn clavicular fractures occurred in 1.6% of infants, often linked to shoulder presentation and high birth weight. Delivery positioning and medical supervision may be contributing factors.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Care
- Pediatric Orthopedics
Context:
- A retrospective review of newborn clavicular fractures from 1978.
- Analysis of 20 clavicular fracture cases among newborns.
- Incidence rate of 1.6% for clavicular fractures in the observed newborn population.
Purpose:
- To report the incidence and characteristics of clavicular fractures in newborns.
- To identify risk factors associated with neonatal clavicular fractures.
- To explore the potential influence of delivery management on fracture occurrence.
Summary:
- Twenty clavicular fractures were identified, representing 1.6% of all newborns during the study period.
- Fractures were predominantly associated with cephalic presentations and upper shoulder dystocia (90% of cases).
- A strong correlation was observed between clavicular fractures and high birth weight. Delivery positioning and medical supervision were implicated as potential causative factors.
Impact:
- Highlights the incidence of clavicular fractures in newborns.
- Identifies key risk factors including birth weight and presentation.
- Suggests areas for improved delivery practices to reduce neonatal birth trauma.
Abstract:
Accumulation of clavicular fractures among newborns on the authors' ward is reported, with reference to 1978. Twenty clavicular fractures were recorded from 1.6 per cent of all newborns, in the above period under review. They were related to cephalic presentations and to the upper shoulder in 90 percent. They were closely correlated to high birth weight. Positioning of the women concerned and medical supervision of delivery seemed to be of causative importance.