The incidence of birth injuries decreased in Finland between 1997 and 2017: A nationwide register study.
Erb paralysis
birth injury
clavicle fracture
epidemiology
gestation age
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
27
12
2019
revised:
02
03
2020
accepted:
18
03
2020
pubmed:
24
3
2020
medline:
15
5
2021
entrez:
24
3
2020
Statut:
ppublish
Résumé
Birth injuries are rare complications that can have a significant impact on neonates and their families. This population-based study describes the rates and trends of all birth injuries in Finland over a 21-year period. The study is based on a national Medical Birth Register that includes all live-born neonates of more than 22 gestational weeks or 500 g who were born in Finland between 1997 and 2017. The ICD-10 codes of the birth injuries were obtained from the Finnish Medical Birth Register and the Care Register for Health Care. The incidence of birth injury, changes over time and incidence at different gestational ages were determined. A total of 28 551 birth injuries were diagnosed, and the total incidence decreased from 34.0 to 16.6 per 1000 live births. The incidence of clavicle fracture, cephalohaematoma, and Erb paralysis decreased while the incidence of chignon and epicranial subaponeurotic haemorrhage increased. The incidence of birth injury halved during the 20-year study period. This was mainly due to a decrease in the number of clavicle fractures. The incidence of birth injury increased with gestational age, and most injuries occurred after 37 weeks of gestation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2562-2569Informations de copyright
© 2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Références
Sauber-Schatz EK, Markovica N, Weissa HB, Bodnara LM, Wilson JW, Pearlman MD. Descriptive epidemiology of birth trauma in United States in 2003. Paediatr Perinat Epidemiol. 2010;24:116-124.
Tomashek KM, Crouse CJ, Iyasu S, Johnson CH, Flowers LM. A comparison of morbidity rates attributable to conditions originating in the perinatal period among newborns discharged from United States hospitals, 1989-90 and 1999-2000. Paediatr Perinat Epidemiol. 2006;20:24-34.
Wen Q, Muraca GM, Ting J, Coad S, Lim KI, Lisonkova S. Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study. BMJ Open. 2018;8(3):e020578.
Hankins GDV, Clark SM, Munn MB. Cesarean section on request at 39 weeks: impact on shoulder dystocia, fetal trauma, neonatal encephalopathy, and intrauterine fetal demise. Semin Perinatol. 2006;30(5):276-287.
Kaplan B, Rabinerson D, Avrech OM, Carmi N, Steinberg DM, Merlob P. Fracture of the clavicle in the newborn following normal labor and delivery. Int J Gynaecol Obstet. 1998;63:15-20.
Ahn ES, Jung MS, Lee YK, Ko SY, Shin SM, Hahn MH. Neonatal clavicular fracture. Recent 10 year study. Pediatr int. 2015;5781:60-63.
Parker LA. Part 1: early recognition and treatment of birth trauma: injuries to the head and face. Adv Neonatal Care. 2005;5:288-297.
Hughes CA, Harley EH, Milmoe G, Bala R, Martorella A. Birth trauma in the head and neck. Arch Otolaryngol Head Neck Surg. 1999;125:193.
Chauhan SP, Rose CH, Gherman RB, Magann EF, Holland MW, Morrison JC. Brachial plexus injury: a 23-year experience from a tertiary center. Am J Obstet Gynecol. 2005;192:1795-1800.
Foad SL, Mehlman CT, Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg Am. 2008;90:1258-1264.
Wall LB, Mills JK, Leveno K, et al. Incidence and prognosis of neonatal brachial plexus palsy with and without clavicle fractures. Obstet Gynecol. 2014;123:1288-1293.
Muraca GM, Lisonkova S, Skoll A, et al. Ecological association between operative vaginal delivery and obstetric and birth trauma. CMAJ. 2018;190:E734-E741.
Van der Looven R, Le Roy L, Tanghe E, et al. Risk factors for neonatal brachial plexus palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2019. https://doi.org/10.1111/dmcn.14381
Ekeús C, Högberg U, Norman M. Vacuum assisted birth and risk for cerebral complications in term newborn infants: a population-based cohort study. BMC Pregnancy Childbirth. 2014;14:36.
Tavila B, Korkmaz A, Bayhan T, et al. Foetal and neonatal intracranial haemorrhage in term newborn infants: Hacettepe University experience. Blood Coagul Fibrinolysis. 2016;27:163-168.
Abzug JM, Mehlman CT, Ying J. Assessment of current epidemiology and risk factors surrounding brachial plexus birth palsy. J Hand Surg Am. 2019;44:515.e1-515.e10.
Perinatal statistics - parturients, delivers and newborns2017. Available form: http://www.julkari.fi/bitstream/handle/10024/137072/Tr38_18.pdf?sequence=5&isAllowed=y. Accessed October 31, 2018.
Gissler M, Teperi J, Hemminki E, Merilainen J. Data quality after restructuring a national medical registry. Scand J Soc Med. 1995;23(1):75-80.
Sund R. Quality of the Finnish hospital discharge register: a systematic review. Scand J Public Health. 2012;40:505-515.
Huttunen TT, Kannus P, Pihlajamäki H, Mattila VM. Pertrochanteric fracture of the femur in the Finnish National Hospital Discharge Register: validity of procedural coding, external cause for injury and diagnosis. BMC musculoskelet disord. 2014;15:98.
Mah EM, Foumane P, Ngwanou DH, et al. Birth injuries in neonates at a University Teaching Hospital in Cameroon: epidemiological, clinical and therapeutic aspects. Open J Pediatr. 2017;7:51-58.
Mollberg M, Hagberg H, Bager B, Lilja H, Landfors L. High birthweight and shoulder dystocia: the strongest risk factors for obstetrical brachial plexus palsy in a Swedish population-based study. Acta Obstet Gynecol Scand. 2005;84:654-659.
Gudmundsson S, Henningsson A, Lindqvist P. Correlation of birth injury with maternal height and birthweight. BJOG. 2005;112:764-767.
Boulet SL, Alexander GR, Salihu HM, Pass M. Macrosomic births in the United States: determinants, outcomes, and proposed grades of risk. Am J Obstet Gynecol. 2003;188:1372-1378.
Liston FA, Allen VM, O'Connell CM, Jangaard KA. Neonatal outcomes with caesarean delivery at term. Arch Dis Child Fetal Neonatal Ed. 2008;93:F176-F182.
Macfarlane AJ, Blondel B, Mohangoo AD, et al. Wide differences in mode of delivery within Europe: risk-stratified analyses of aggregated routine data from the Euro-Peristat study. BJOG. 2016;123:559-568.
Martin JA, Hamilton BE, Osterman MJK, et al. Births: final Data for 2015. National Vital Statistics Report, Vol. 66, No. 1. Hyattsville, MD: National Center for Health Statistics; 2017.
Werner EF, Janevic TM, Illuzzi J, Funai EF, Savitz DA, Lipkind HS. Mode of delivery in nulliparous women and neonatal intracranial injury. Obstet Gynecol. 2011;118:1239-1246.
Riskin A, Riskin-Mashiah S, Bader D, et al. Delivery mode and severe intraventricular hemorrhage in single, very low birth weight, vertex infants. Obstet Gynecol. 2008;112:21-28.