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Route of delivery and neonatal birth trauma.

Authors :: Moczygemba CK
Paramsothy P
Meikle S
Kourtis AP
Barfield WD
Kuklina E
Posner SF
Whiteman MK
Jamieson DJ
Source :: American journal of obstetrics and gynecology [Am J Obstet Gynecol] 2010 Apr; Vol. 202 (4), pp. 361.e1-6. Date of Electronic Publication: 2010 Jan 15.
Publication Year :: 2010
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.<br />Study Design: Data on singleton infants were obtained from the 2004-2005 Healthcare Cost and Utilization Project Nationwide Inpatient Sample.<br />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).<br />Conclusion: Infants delivered by cesarean are at risk for different types of birth trauma from infants delivered vaginally.<br /> (Copyright 2010 Mosby, Inc. All rights reserved.)