Neonatal clavicle fracture in cesarean delivery: incidence and risk factors. (18th July 2017)

• Record Type: Journal Article
• Authors: Choi, Hyun Ah; Lee, Yeon Kyung; Ko, Sun Young; Shin, Son Moon
• Is Part Of: Journal of maternal-fetal & neonatal medicine. Volume 30:Number 14(2017)
• Page Start: 1689
• Page End: 1692
• Publication Date: 2017-07-18
• Subjects: Cesarean delivery -- clavicle fracture -- incidence -- neonate -- risk factor; Obstetrics -- Periodicals; Perinatology -- Periodicals; Infants (Newborn) -- Diseases -- Periodicals; Neonatology -- Periodicals; 618.2
• DOI: 10.1080/14767058.2016.1222368
• Languages: English
• ISSNs: 1476-7058

Abstract

Abstract: Background : Neonatal clavicle fracture in cesarean delivery is rare and has not been extensively studied. Methods : We performed a retrospective review of cesarean deliveries with neonatal clavicle fracture during a 12-year period. Maternal and neonatal factors as well as surgical factors related to cesarean delivery for the fracture were determined and compared to the control group to analyze their significance. Results : Among a total 89 367 deliveries during the study period, 36 286 babies were born via cesarean section. Nineteen cases of clavicle fractures in cesarean section were identified (0.05% of total live births via cesarean section). In the analysis of maternal and neonatal risk factors, birthweight, birthweight ≥ 4000 g and maternal age were significantly associated with clavicle fracture in cesarean section. However, clavicle fractures were not correlated with the selected surgical factors such as indication for cesarean section, skin incision to delivery time and incision type of skin and uterus. Logistic regression analysis showed that birthweight was the major risk factor for clavicle fracture. Conclusion : Clavicle fractures complicated 0.05% of cesarean deliveries. The main risk factor related to a clavicle fracture in cesarean section was the birthweight of an infant. As reported in previous studies associated with vaginal delivery, clavicle fracture is considered to be an unavoidable event and may not be eliminated, even in cesarean delivery.