Risk factors for birth injury

DOI

https://dx.doi.org/10.18565/aig.2022.9.5-10

Kravchenko E.N., Serov V.N., Baev O.R.
1) Omsk State Medical University, Ministry of Health of Russia, Omsk, Russia; 2) Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 3) I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, Russia

An analysis of literature reviews over the past 15 years has shown that, being generally a rare childbirth complication, birth trauma does not lose its relevance due to not only medical and social aspects, but also legal ones. The prevalence of birth trauma varies between 0.2 and 6%, and depends on the risk factors of this complication. There are many risk factors that favor the development of fetal damages during childbirth, most of which occur antenatally, particularly those caused by pregnancy complications (macrosomia, postmaturity, premature birth), extragenital disease (diabetes mellitus), infections, and placental pathology (chorioamnionitis). Of vital importance are childbirth complications: difficult delivery (shoulder dystocia), instrumental vaginal delivery (involving the application of forceps, vacuum extraction of the fetus).
Conclusion: Birth injuries generally require urgent care in the delivery room, so knowledge of obstetric risk factors and antenatal conditions associated with this complication is an important aspect in their prevention, timely diagnosis and management tactics.

birth trauma

obstetric trauma

risk factors

macrosomia

shoulder dystocia

Full text (in Russian)

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Received 12.04.2022

Accepted 22.07.2022

Elena N. Kravchenko, Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology No. 1, Omsk State Medical University, Ministry of Health of Russia, +7(3812)23-02-93, +7(913)620-81-62, kravchenko.en@mail.ru, 644043, Russia, Omsk, Lenin str., 12.
Vladimir N. Serov, Dr. Med. Sci., Professor, Academician of the Russian Academy of Sciences, Chief Researcher, Academician V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, +7(903)765-07-04, 117997, Russia, Moscow, Akademika Oparina str., 4.
Oleg R. Baev, Dr. Med. Sci., Professor, Head of the 1st Maternity Ward, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia, o_baev@oparina4.ru, 117997, Russia, Moscow, Akademika Oparina str., 4; Professor of the Department of Obstetrics, Gynecology, Perinatology and Reproductology, I.M. Sechenov First MSMU, Ministry of Health of Russia, 119991, Russia, Moscow, Trubetskaya str., 8-2, https://orcid.org/0000-0001-8572-1971

Authors' contributions: Kravchenko E.N., Serov V.N. – concept and design of the investigation; Kravchenko E.N. – material collection and processing; Kravchenko E.N., Baev O.R. – writing the text, editing; Serov V.N., Baev O.R. – editing.
Conflicts of interest: The authors declare that there are no conflicts of interest.
Funding: The investigation has not been sponsored.
For citation: Kravchenko E.N., Serov V.N., Baev O.R. Risk factors for birth injury.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2022; 9: 5-10 (in Russian)
https://dx.doi.org/10.18565/aig.2022.9.5-10

Risk factors for birth injury

Kravchenko E.N., Serov V.N., Baev O.R.

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