Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures.
abuse
accidents
birth injuries
fractures
newborn infants
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
21
11
2019
revised:
25
01
2020
accepted:
06
02
2020
pubmed:
9
2
2020
medline:
15
5
2021
entrez:
9
2
2020
Statut:
ppublish
Résumé
Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures. A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birth-related fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes). The overall fracture incidence was 2.9 per 1000 live birth (N = 5336); 92.6% had P-codes and 7.4% (S-codes). Some birth-related fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birth-related. Clavicle fracture (88.8%) was associated with adverse maternal and infant anthropometrics and birth complications. The few neonates with rib fractures all had concomitant clavicle fracture. For skull fractures, a minor part was birth-related and most were associated with accidents. Half of the long bone fractures were associated with accidents. Birth-related femur fractures were associated with bone fragility risk factors. Five infants with abuse diagnoses had fractures: skull (4), long bone (2) and rib (1). Birth-related and other neonatal fractures are rarely diagnosed. Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2040-2048Informations de copyright
© 2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Références
Ahn ES, Jung MS, Lee YK, Ko SY, Shin SM, Hahn MH. Neonatal clavicular fracture: recent 10 year study. Pediatr Int. 2015;57(1):60-63.
Pyykonen A, Gissler M, Jakobsson M, Petaja J, Tapper AM. Determining obstetric patient safety indicators: the differences in neonatal outcome measures between different-sized delivery units. BJOG. 2014;121(4):430-437.
van Rijn RR, Bilo RA, Robben SG. Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature. Pediatr Radiol. 2009;39(1):30-34.
Khan NA, Lam V, Rickett A, Dickinson F. Unforeseen rib fracture findings in infant chest radiographs: evidence of non-accidental injury or simply a case of birth trauma? BMJ Case Rep. 2016;30:2016.
Högberg U, Andersson J, Högberg G, Thiblin I. Metabolic bone disease risk strongly contributing to long bone and rib fractures during early infancy: a population register study. PLoS ONE. 2018;13(12):e0208033.
Basha A, Amarin Z, Abu-Hassan F. Birth-associated long-bone fractures. Int J Gynaecol Obstet. 2013;123(2):127-130.
Morris S, Cassidy N, Stephens M, McCormack D, McManus F. Birth-associated femoral fractures: incidence and outcome. J Pediatr Orthop. 2002;22(1):27-30.
Christian CW. The evaluation of suspected child physical abuse, Committee on Child Abuse and Neglect, American Academy of Pediatrics. Pediatrics. 2015;135(5):e1337-e1354.
Lee GS, Methratta ST, Frasier LD. Classic metaphyseal lesion of distal tibia following footling breech delivery. Pediatr Radiol. 2019;49(13):1840-1842.
Lindsey RW, Harper A. Challenging lower-extremity fractures in newborns and infants. JBJS Case Connect. 2017;7(3):e68.
Cho SM, Kim HG, Yoon SH, et al. Reappraisal of neonatal greenstick skull fractures caused by birth injuries: comparison of 3-dimensional reconstructed computed tomography and simple skull radiographs. World Neurosurg. 2018;109:e305-e312.
Nachtergaele P, Van Calenbergh F, Lagae L. Craniocerebral birth injuries in term newborn infants: a retrospective series. Childs Nerv Syst. 2017;33(11):1927-1935.
Ami O, Maran JC, Gabor P, et al. Three-dimensional magnetic resonance imaging of fetal head molding and brain shape changes during the second stage of labor. PLoS ONE. 2019;14(5):e0215721.
Merhar SL, Kline-Fath BM, Nathan AT, Melton KR, Bierbrauer KS. Identification and management of neonatal skull fractures. J Perinatol. 2016;36(8):640-642.
Monson SA, Henry E, Lambert DK, Schmutz N, Christensen RD. In-hospital falls of newborn infants: data from a multihospital health care system. Pediatrics. 2008;122(2):e277-e280.
Maguire SA, Kemp AM, Lumb RC, Farewell DM. Estimating the probability of abusive head trauma: a pooled analysis. Pediatrics. 2011;128(3):e550-e564.
Health registers Stockholm. Swedish National Board of Health and Welfare; 2018. https://www.socialstyrelsen.se/statistik-och-data/register/. Accessed October 10, 2019.
Högberg U, Winbo J, Fellman V. Population-based register study of children born in Sweden from 1997-2014 showed an increase in rickets during infancy. Acta Paediatr. 2019;108(11):2034-2040.
Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health. www.OpenEpi.com, updated 2013/04/06, accessed September 20, 2019.
Ashton-Miller JA, Delancey JO. On the biomechanics of vaginal birth and common sequelae. Annu Rev Biomed Eng. 2009;11:163-176.
Pettersson K, Ajne J, Yousaf K, Sturm D, Westgren M, Ajne G. Traction force during vacuum extraction: a prospective observational study. BJOG. 2015;122(13):1809-1816.
Kanai Y, Honda Y, Honda T, Sanpei M. Delayed birth-related femur fracture after cesarean section: a case report. AJP Rep. 2018;8(3):e158-e160.
Hsu T-Y, Hung F-C, Lu Y-J, et al. Neonatal clavicular fracture: clinical analysis of incidence, predisposing factors, diagnosis, and outcome. Am J Perinatol. 2002;19(1):17-21.
Ozdener T, Engin-Ustun Y, Aktulay A, et al. Clavicular fracture: its incidence and predisposing factors in term uncomplicated pregnancy. Eur Rev Med Pharmacol Sci. 2013;17(9):1269-1272.
Cohen AW, Otto SR. Obstetric clavicular fractures. A three-year analysis. J Reprod Med. 1980;25(3):119-122.
Kahn DJ, Fisher PD, Hertzler DA 2nd. Variation in management of in-hospital newborn falls: a single-center experience. J Neurosurg Pediatr. 2017;20(2):176-182.
Elinder G, Eriksson A, Hallberg B, et al. Traumatic shaking: the role of the triad in medical investigations of suspected traumatic shaking. Acta Paediatr. 2018;107(Suppl 472):3-23.
Güvencel A. With what certainty can it be claimed that rib fractures or classical metaphyseal lesions in infants are attributed to physical abuse? [MSc]. Dundee: University of Dundee; 2019.
Ludvigsson JF, Andersson E, Ekbom A, et al. External review and validation of the Swedish national inpatient register. BMC Public Health. 2011;11:450.
Centre of Epidemiology SNBoHaW. The Swedish Medical Birth Register. A summary of content and quality. Research report from Centre of Epidemiology. Stockholm: Swedish National Board of Health and Welfare; 2003.