Zekai Tahir Burak Women's Health Education and Research Hospital, Cankaya, Ankara, Turkey.
Eur Rev Med Pharmacol Sci. 2013 May;17(9):1269-72.
Our aim was to evaluate fetal and maternal predisposing factors associated with clavicular fracture.
In this study we reviewed all term uncomplicated deliveries in our Hospital between January 2009 and April 2010. The diagnosis of clavicular fracture was established by physical examination and in clinically diagnosed patients confirmed by radiology. We compared deliveries with clavicular fracture (study group) with a sample of 150 patients (control group) matched for time at active phase of labor from all vaginal deliveries. The data included maternal age, gestational age, fetal weight, and infant sex, presence of gestational diabetes, labor duration and induction and shoulder dystocia.
In the Unit 16819 deliveries occurred during the period. The study included 9700 uncomplicated pregnancies at > or = 37 weeks of gestation delivered vaginally. We identified 73 cases of clavicular fracture with an prevalence of (73/9700) 0.75%. The study group had a significantly higher prevalence of shoulder dystocia (6.8% vs. 0.6%). Logistic regression analysis revealed maternal age and fetal weight as significant risk factors influencing clavicular fractures.
Main risk factors for clavicular fracture identified from our study seem as maternal age and birth weight.
我们旨在评估与锁骨骨折相关的胎儿和产妇诱发因素。
在这项研究中，我们回顾了 2009 年 1 月至 2010 年 4 月期间我院所有足月无并发症的分娩。通过体格检查确定锁骨骨折的诊断，在临床诊断为锁骨骨折的患者中，通过放射学检查进行确认。我们将有锁骨骨折的分娩（研究组）与 150 名因活跃期分娩时间匹配的阴道分娩患者（对照组）进行比较。数据包括产妇年龄、孕龄、胎儿体重和婴儿性别、是否患有妊娠期糖尿病、产程和引产以及肩难产。
在该期间，16819 次分娩发生在该单位。研究包括 9700 例 >或= 37 周的无并发症妊娠经阴道分娩。我们发现 73 例锁骨骨折，患病率为（73/9700）0.75%。研究组的肩难产发生率明显更高（6.8%比 0.6%）。Logistic 回归分析显示，产妇年龄和胎儿体重是影响锁骨骨折的显著危险因素。
从我们的研究中确定的锁骨骨折的主要危险因素似乎是产妇年龄和出生体重。
