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Prevalence and Risk Factors of Fetal Laceration Injuryassociated with Cesarean Delivery |
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| รหัสดีโอไอ | |
| Creator | Supatchara Taiwan, M.D. |
| Title | Prevalence and Risk Factors of Fetal Laceration Injuryassociated with Cesarean Delivery |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2559 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 24 |
| Journal No. | 4 |
| Page no. | 280 |
| Keyword | Fetal laceration injury, cesarean delivery, risk factor |
| ISSN | 0857-6084 |
| Abstract | Objectives: To determine the prevalence and risk factors of fetal laceration injury during cesareandelivery.Materials and methods: Computer-based delivery records of Rajavithi Hospital were retrospectivereviewed between January 2009 and December 2013. All data including maternal characteristics,neonatal outcomes, operative records and complications of cesarean delivery were collected.Prevalence of fetal laceration injury during cesarean delivery was calculated. Comparison wasmade between those with and without fetal laceration injury.Results: During the study period, cesarean deliveris were performed in 10,540 of total 29,532deliveries (35.7%). Five hundred and fity cesarean deliveries were met the exclusion criteria.The remaining 9,970 deliveries were analyzed. Thirty-two newborns (0.3%) had observedlaceration injury from cesarean delivery. Common sites of laceration injuries were on facesand most of injuries were mild lacerations. Membranes rupture before undergoing cesareandelivery (OR=2.04, 95%CI=1.02 4.08) and young maternal age group (OR=3.93, 95%CI=1.58-9.78) are signifiant risk factors for fetal laceration injury associated with cesarean delivery.Experience of operator, urgency of cesarean delivery and neonatal outcomes show no relatedassociation with the injury.Conclusion: Fetal laceration injury associated with cesarean delivery is uncommon. Rupture ofmembranes before undergoing cesarean delivery and young maternal age group are major riskfactors for the injury. Women with risk factors should be carefully operated during cesareandelivery. |
