Awari Bassam H, Al-Habdan Ibrahim, Sadat-Ali Mir, Al-Mulhim Abdulaziz
Department of Pediatrics, King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia.
Saudi Med J. 2003 Jun;24(6):672-4.
To assess the incidence of birth-injuries seen at the King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia (KSA).
A retrospective analysis was carried out in 31,028 consecutive deliveries between January 1986 and December 1996 at the King Fahd Hospital of the University, Al-Khobar, KSA. The study group was compared with a matched control group.
There were 203 newborns with 208 injuries with an incidence of 6.70 per 1,000 live births. The majority (55%) of the injuries was sustained during normal vaginal deliveries and the least were during cesarean section (5.2%). The average gestational age was 39 weeks (25-44 weeks) in the study group and in the control group was 38.84 (21-44 weeks). The birth weight in the study group was 3323 gms (780-6190) and the control group was 3015 gms (790-6,015) p<0.01. The Apgar score in the study group was 7 and 9 at one and 5 minutes and in the control group was 8 and 9. There were 104 scalp injuries, 50 nerve injuries, 20 fractures (11 clavicle and 9 long bones) and 21 newborns had intracranial hemorrhage.
This study demonstrates a variety of birth related trauma at the teaching institution with a lower overall incidence as compared to reports from the literature. The only significant factor was that birth weight was higher in the study group as compared to the control group (p <0.01). It is recommended that every effort be required to further decrease the incidence of birth injuries.
评估沙特阿拉伯王国胡拜尔法赫德国王大学医院所见到的分娩损伤发生率。
对1986年1月至1996年12月期间在沙特阿拉伯王国胡拜尔法赫德国王大学医院连续进行的31028例分娩进行回顾性分析。将研究组与匹配的对照组进行比较。
有203例新生儿发生208处损伤，每1000例活产儿的发生率为6.70。大多数损伤（55%）发生在正常阴道分娩期间，剖宫产期间最少（5.2%）。研究组的平均孕周为39周（25 - 44周），对照组为38.84周（21 - 44周）。研究组的出生体重为3323克（780 - 6190克），对照组为3015克（790 - 6015克），p<0.01。研究组1分钟和5分钟时的阿氏评分分别为7分和9分，对照组为8分和9分。有104处头皮损伤、50处神经损伤、20处骨折（11处锁骨骨折和9处长骨骨折），21例新生儿发生颅内出血。
本研究表明，在该教学机构存在多种与分娩相关的创伤，与文献报道相比总体发生率较低。唯一显著的因素是研究组的出生体重高于对照组（p<0.01）。建议尽一切努力进一步降低分娩损伤的发生率。
