Brown B L, Lapinski R, Berkowitz G S, Holzman I
Department of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai Medical Center, New York, New York.
Am J Perinatol. 1994 Sep;11(5):331-3. doi: 10.1055/s-2007-994546.
A hospital-based case-controlled study was undertaken to determine maternal and neonatal characteristics associated with fractured clavicle. A total of 11,604 consecutive vaginal deliveries of liveborn infants in vertex presentation at the Mount Sinai Hospital from 1988 to 1990 were reviewed. Maternal and neonatal characteristics were compared for the neonates with and without a diagnosis of a fractured clavicle. Compared to controls, mothers of neonates with a fractured clavicle were more likely to be nulliparas or primiparas, to have had an operative vaginal delivery, and to have been delivered by an attending as opposed to a resident physician. The fractured clavicle group also had a longer gestational age, greater birthweight, and higher frequency of macrosomic infants. After controlling for maternal parity, type of delivery and infant birthweight, experience of the delivering physician, and gestational age at delivery were not significantly different. Fracture of the clavicle in the neonate is related to maternal parity, mode of delivery, and infant birthweight but not to the level of experience of the delivering physician.
开展了一项基于医院的病例对照研究，以确定与锁骨骨折相关的母婴特征。回顾了1988年至1990年在西奈山医院连续11,604例以头位分娩的活产婴儿的阴道分娩情况。对诊断为锁骨骨折和未诊断为锁骨骨折的新生儿的母婴特征进行了比较。与对照组相比，锁骨骨折新生儿的母亲更有可能是初产妇或经产妇，有阴道助产史，且由主治医生而非住院医生接生。锁骨骨折组的胎龄更长、出生体重更大，巨大儿的发生率更高。在控制了产妇的产次、分娩方式、婴儿出生体重、接生医生的经验和分娩时的胎龄后，这些因素并无显著差异。新生儿锁骨骨折与产妇产次、分娩方式和婴儿出生体重有关，但与接生医生的经验水平无关。
