D M Haas1, A W Ayres. 1. Department of Obstetrics and Gynecology, Naval Medical Center, San Diego, California 92134-5000, USA.
Abstract
OBJECTIVE: To determine the infant laceration injury rate during Cesarean sections at Naval Medical Center, San Diego and to describe risk factors associated with this complication. METHODS: Retrospective chart review of all infants born between 1 January 1996 and 31 December, 1999 identified by computer coding as having sustained a birth injury. Fifty randomly selected maternal records of Cesarean sections without infant lacerations were reviewed and analyzed as a control group. RESULTS: Our Cesarean section rate during the time was 16.5% with a laceration injury rate of 0.74%. When compared to controls, there was no difference in operative indication, type of Cesarean section, or any demographic information between the two groups. Male infant gender (p = 0.027) and ruptured membranes (p = 0.019) showed a statistically significant difference between the two groups. CONCLUSIONS: Laceration injury to the infant during Cesarean section is associated with a laboring uterus. This is an important complication that should be part of preoperative counselling and should be documented appropriately when it occurs.
OBJECTIVE: To determine the infant laceration injury rate during Cesarean sections at Naval Medical Center, San Diego and to describe risk factors associated with this complication. METHODS: Retrospective chart review of all infants born between 1 January 1996 and 31 December, 1999 identified by computer coding as having sustained a birth injury. Fifty randomly selected maternal records of Cesarean sections without infant lacerations were reviewed and analyzed as a control group. RESULTS: Our Cesarean section rate during the time was 16.5% with a laceration injury rate of 0.74%. When compared to controls, there was no difference in operative indication, type of Cesarean section, or any demographic information between the two groups. Male infant gender (p = 0.027) and ruptured membranes (p = 0.019) showed a statistically significant difference between the two groups. CONCLUSIONS: Laceration injury to the infant during Cesarean section is associated with a laboring uterus. This is an important complication that should be part of preoperative counselling and should be documented appropriately when it occurs.
Authors: Kimberly Bartosiak; Chris Stockburger; Jennifer Stockburger; Sara Putnam; Shayna Conner; John Clohisy Journal: Clin Orthop Relat Res Date: 2020-01 Impact factor: 4.755