Abstract
Author(s): ANNA RADOMSKA, GRZEGORZ KRASOMSKI
Introduction. The problem of perinatal injuries to infants is still an up-to-date subject and despite a decrease in number of these injuries, it is impossible to eliminate them entirely. The aim. The aim of this study is to estimate the frequency of mechanical birth injuries of newborns with regard to the correlation between birth weight and the way of delivery. The study has also analyzed the length of newborns, head circumference, sex and Apgar scores. Materials and Methods. The subjects of the study were neonates born in Obstetrics and Gynecology Clinic in the Polish Mother’s Memorial Hospital in Lodz between 1 July 2003 and 30 Juny 2008, who suffered from fetal trauma. Received results were statistically analyzed. Results. 7590 alive newborns were subjected to retrospective analysis. 310 neonates with fetal injuries who had 321 traumas were selected. The incident of birth trauma in our population was estimated at 4,23%. Conclusions. Such mechanical injuries of newborns as clavicle fracture and brachial plexus palsy depends on birth weight. The lowest rate of birth trauma of neonates weighing more than 4000g is probably caused by increased frequency of caesarean section in this birth weight group. Preferred method of delivery in the case of high weight fetus is caesarean section.