Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria

INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and ner...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	J E Asuquo [verfasserIn] I E Abang [verfasserIn] S E Urom [verfasserIn] C O Anisi [verfasserIn] M E Eyong [verfasserIn] P U Agweye [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	birth injury trauma orthopedic related birth fractures birth palsy

Übergeordnetes Werk:	In: Nigerian Journal of Medicine - Wolters Kluwer Medknow Publications, 2021, 27(2018), 1, Seite 78-83
Übergeordnetes Werk:	volume:27 ; year:2018 ; number:1 ; pages:78-83

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.4103/1115-2613.278234

Katalog-ID:	DOAJ055817416

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520			\|a INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies.
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allfields	10.4103/1115-2613.278234 doi (DE-627)DOAJ055817416 (DE-599)DOAJ3cda9ef956124a8e9b63dd6b8fd6691c DE-627 ger DE-627 rakwb eng J E Asuquo verfasserin aut Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies. birth injury trauma orthopedic related birth fractures birth palsy Medicine R I E Abang verfasserin aut S E Urom verfasserin aut C O Anisi verfasserin aut M E Eyong verfasserin aut P U Agweye verfasserin aut In Nigerian Journal of Medicine Wolters Kluwer Medknow Publications, 2021 27(2018), 1, Seite 78-83 (DE-627)636679764 (DE-600)2576546-2 26670526 nnns volume:27 year:2018 number:1 pages:78-83 https://doi.org/10.4103/1115-2613.278234 kostenfrei https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c kostenfrei http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 kostenfrei https://doaj.org/toc/1115-2613 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 27 2018 1 78-83
spelling	10.4103/1115-2613.278234 doi (DE-627)DOAJ055817416 (DE-599)DOAJ3cda9ef956124a8e9b63dd6b8fd6691c DE-627 ger DE-627 rakwb eng J E Asuquo verfasserin aut Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies. birth injury trauma orthopedic related birth fractures birth palsy Medicine R I E Abang verfasserin aut S E Urom verfasserin aut C O Anisi verfasserin aut M E Eyong verfasserin aut P U Agweye verfasserin aut In Nigerian Journal of Medicine Wolters Kluwer Medknow Publications, 2021 27(2018), 1, Seite 78-83 (DE-627)636679764 (DE-600)2576546-2 26670526 nnns volume:27 year:2018 number:1 pages:78-83 https://doi.org/10.4103/1115-2613.278234 kostenfrei https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c kostenfrei http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 kostenfrei https://doaj.org/toc/1115-2613 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 27 2018 1 78-83
allfields_unstemmed	10.4103/1115-2613.278234 doi (DE-627)DOAJ055817416 (DE-599)DOAJ3cda9ef956124a8e9b63dd6b8fd6691c DE-627 ger DE-627 rakwb eng J E Asuquo verfasserin aut Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies. birth injury trauma orthopedic related birth fractures birth palsy Medicine R I E Abang verfasserin aut S E Urom verfasserin aut C O Anisi verfasserin aut M E Eyong verfasserin aut P U Agweye verfasserin aut In Nigerian Journal of Medicine Wolters Kluwer Medknow Publications, 2021 27(2018), 1, Seite 78-83 (DE-627)636679764 (DE-600)2576546-2 26670526 nnns volume:27 year:2018 number:1 pages:78-83 https://doi.org/10.4103/1115-2613.278234 kostenfrei https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c kostenfrei http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 kostenfrei https://doaj.org/toc/1115-2613 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 27 2018 1 78-83
allfieldsGer	10.4103/1115-2613.278234 doi (DE-627)DOAJ055817416 (DE-599)DOAJ3cda9ef956124a8e9b63dd6b8fd6691c DE-627 ger DE-627 rakwb eng J E Asuquo verfasserin aut Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies. birth injury trauma orthopedic related birth fractures birth palsy Medicine R I E Abang verfasserin aut S E Urom verfasserin aut C O Anisi verfasserin aut M E Eyong verfasserin aut P U Agweye verfasserin aut In Nigerian Journal of Medicine Wolters Kluwer Medknow Publications, 2021 27(2018), 1, Seite 78-83 (DE-627)636679764 (DE-600)2576546-2 26670526 nnns volume:27 year:2018 number:1 pages:78-83 https://doi.org/10.4103/1115-2613.278234 kostenfrei https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c kostenfrei http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 kostenfrei https://doaj.org/toc/1115-2613 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 27 2018 1 78-83
allfieldsSound	10.4103/1115-2613.278234 doi (DE-627)DOAJ055817416 (DE-599)DOAJ3cda9ef956124a8e9b63dd6b8fd6691c DE-627 ger DE-627 rakwb eng J E Asuquo verfasserin aut Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies. birth injury trauma orthopedic related birth fractures birth palsy Medicine R I E Abang verfasserin aut S E Urom verfasserin aut C O Anisi verfasserin aut M E Eyong verfasserin aut P U Agweye verfasserin aut In Nigerian Journal of Medicine Wolters Kluwer Medknow Publications, 2021 27(2018), 1, Seite 78-83 (DE-627)636679764 (DE-600)2576546-2 26670526 nnns volume:27 year:2018 number:1 pages:78-83 https://doi.org/10.4103/1115-2613.278234 kostenfrei https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c kostenfrei http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 kostenfrei https://doaj.org/toc/1115-2613 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 27 2018 1 78-83
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In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. 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author	J E Asuquo
spellingShingle	J E Asuquo misc birth injury misc trauma misc orthopedic related misc birth fractures misc birth palsy misc Medicine misc R Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria
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topic_title	Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria birth injury trauma orthopedic related birth fractures birth palsy
topic	misc birth injury misc trauma misc orthopedic related misc birth fractures misc birth palsy misc Medicine misc R
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title	Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria
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title_full	Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria
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title_sort	prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in calabar, nigeria
title_auth	Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria
abstract	INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies.
abstractGer	INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies.
abstract_unstemmed	INTRODUCTION: Birth injuries may occur even with the best standard of care, and even more in the presence of certain fetal, maternal and delivery related factors. In this study we sought to determine the prevalence of birth injuries and investigate the predisposing factors of birth fractures and nerve palsies. METHOD: This was a hospital-based Epidemiological study conducted between January 2014 – December 2016 and all patients with birth injuries were recruited into the study. Structured questionnaires were administered to parents or guardians after giving informed consent. Relevant data regarding maternal morbidity, birth weight, parity and mode of delivery was collected and analyzed using IBM SPSS version 22. Significant statistical inference was set at 0.05. Ethical approval was given by the institutional ethics and research committee. RESULTS: Forty-six patients were recruited into the study. Seventy six percent were referred within a week after birth. Male to female ratio was 1:1.1. Thirty-two (60.9%) had fractures while 14 (39.1%) had brachial plexus injuries. Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. Cesarean section had the lowest rate of birth fractures and nerve palsies.
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title_short	Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria
url	https://doi.org/10.4103/1115-2613.278234 https://doaj.org/article/3cda9ef956124a8e9b63dd6b8fd6691c http://www.njmonline.org/article.asp?issn=1115-2613;year=2018;volume=27;issue=1;spage=78;epage=83;aulast=Asuquo;type=0 https://doaj.org/toc/1115-2613
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Twenty-seven(58.7%) were delivered by a midwife and one was delivered by a traditional birth attendant. Fourteen of the mothers (30.4%) were primipara while 13 were grandmultipara. Seventeen of the patients (37%) had a birth weight <4kg. Most mothers delivered in a secondary health facility (43.5%) while 5 (10.9%) delivered at home. Only 8 (17.4%) had cesarean section. Birth through cesarean section was significantly associated with lower risk of fractures and peripheral nerve palsy (p=0.04). CONCLUSION: Fractures were the commonest injury seen. 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Prevalence and predisposing factors to birth fractures and brachial plexus injuries seen in a tertiary hospital in Calabar, Nigeria

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