Leviton A, Gilles F, Strassfeld R
Ann Neurol. 1977 Dec;2(6):451-4. doi: 10.1002/ana.410020602.
The relationship of route of delivery and hyaline membranes to eight sites of intracranial hemorrhage was evaluated in 513 autopsied newborn infants. Those delivered by cesarian section appeared to be at less risk for most hemorrhages compared with newborns delivered vaginally. However, the reductions in risk were small and did not achieve nominal levels of statistical significance. Thus, "birth trauma" probably contributes little to the risk of most neonatal intracranial hemorrhages. Newborns who developed hyaline membranes appeared to be at greater risk for most hemorrhages than those who did not, particularly if the infant had been delivered by cesarian section. This was especially marked for subarachnoid and germinal matrix hemorrhage.
在513例接受尸检的新生儿中，评估了分娩方式和透明膜与八个颅内出血部位的关系。与经阴道分娩的新生儿相比，剖宫产分娩的新生儿在大多数出血方面的风险似乎较低。然而，风险的降低幅度很小，未达到统计学显著性的标称水平。因此，“出生创伤”可能对大多数新生儿颅内出血的风险贡献不大。出现透明膜的新生儿在大多数出血方面的风险似乎比未出现的新生儿更高，特别是如果婴儿是剖宫产分娩的。这在蛛网膜下腔出血和生发基质出血方面尤为明显。
