Rasenack R, Möllmann C, Farthmann J, Kunze M, Prömpeler H
Universitätsfrauenklinik, Freiburg.
Z Geburtshilfe Neonatol. 2010 Oct;214(5):210-3. doi: 10.1055/s-0030-1261937. Epub 2010 Oct 28.
The occurrence of 4 bone fractures associated with birth by Caesarean section (CS) prompted us to examine the incidence and predisposing factors of bone injuries sustained during birth.
The 4 cases with fractures were evaluated retrospectively and discussed in combination with a short review of the literature.
With the increasing number of Caesarean sections the incidence of birth trauma has decreased. Nevertheless, when performing a CS there is still a risk of serious trauma to the neonate, including bone fractures. A Caesarean section for breech presentation constitutes a predisposition for femoral fractures. When diagnosed early and treated properly, the prognosis for these fractures is good without sequelae and one can expect a satisfactory clinical outcome for the child. We suggest that the possibility of this complication be mentioned when counselling the mother and getting informed consent.
4例与剖宫产出生相关的骨折促使我们研究出生时发生骨损伤的发生率及易感因素。
对4例骨折病例进行回顾性评估，并结合简短的文献综述进行讨论。
随着剖宫产数量的增加，出生创伤的发生率有所下降。然而，进行剖宫产时，新生儿仍有遭受严重创伤的风险，包括骨折。臀位剖宫产是股骨骨折的一个易感因素。如果早期诊断并妥善治疗，这些骨折的预后良好，不会留下后遗症，孩子有望获得满意的临床结局。我们建议在为母亲提供咨询并获得知情同意时提及这种并发症的可能性。
