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首页> 外文期刊>British Journal of Medicine and Medical Research >Birth Injuries, Risk Factors and Predictors of Outcome in Maiduguri North-eastern Nigeria
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Birth Injuries, Risk Factors and Predictors of Outcome in Maiduguri North-eastern Nigeria

机译：尼日利亚东北部迈杜古里的出生受伤，危险因素和结果预测

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Introduction: Birth injuries are impairment of neonatal body function sustained by the baby at birth which can be avoidable and unavoidable. Despite advances in prenatal care, birth injuries occurs especially in prolonged and difficult labour /deliveries. Objectives: The study aimed to determine the risk factors and predictors of outcome at Special Care Baby Unit of the University of Maiduguri Teaching Hospital Maiduguri, North-Eastern Nigeria. Patients and Methods: This was a prospective cross-sectional studies conducted over 12 months from 1st January to 31st December 2016. Patients who met the inclusion criteria after obtaining ethical clearance were evaluated after consenting to participate in the study. Results: Sixty one (5.7%) out of 1078 neonates admitted to Special Care Baby Unit (SCBU) with birth injuries were recruited into the study. The common risk factors identified were primiparity 25/61 (40.7%) p=0.017, mode of delivery spontaneous vaginal delivery 36/61 (58.8%). Deliver at tertiary centre was high 38/61 (62.3%), though not statistically significant. When compared neonates with one- two birth injuries compared to those greater than 2 birth injuries delivery by non-obstetrician was associated with higher risk of birth injury p=0.001. Facial nerve palsy, Erb’s palsy was the common central nervous system injury; perinatal asphyxia was higher 24/61 (39.1%). Soft tissue injury constituted the majority; Facial and skin bruises 37/61 (60.7%), sub-conjunctival haemorrhage 25/61 (40.1%) cephalhaematoma and subgaleal haemorrhage was 10/61 (16.4%) and 8/61 (13.1%) respectively. Clavicular fracture was the commonest 5/61 (8.2%), followed by humerus 4/61 (6.6%). Two patients with liver and splenic rupture died within 2 days of admission. Conclusion: The risk factors and predictors of birth injuries are intertwined; largely birth injury is avoidable with good antenatal care and prompt management of labour processes by trained personnel.
机译：简介：出生伤害是婴儿出生时对新生儿身体机能的损害，这是可以避免和不可避免的。尽管在产前保健方面取得了进步，但尤其是在长时间和困难的分娩/分娩中，发生了产伤。目的：本研究旨在确定尼日利亚东北部梅杜古里大学梅杜古里大学教学医院特殊护理婴儿部的危险因素和预后指标。患者与方法：这是一项从2016年1月1日至12月31日的12个月内进行的前瞻性横断面研究。在获得伦理许可后符合纳入标准的患者在同意参加研究后进行评估。结果：纳入特例婴儿病房（SCBU）的1078名新生儿中，其中61名（5.7％）因出生受伤而入选该研究。确定的常见危险因素是初产25/61（40.7％）p = 0.017，分娩方式自发性阴道分娩36/61（58.8％）。虽然没有统计学显着性，但在第三中心的分娩率很高，为38/61（62.3％）。相比之下，有1-2例新生儿受伤的新生儿与大于2例新生儿受伤的新生儿相比，非产科医生分娩的新生儿出生风险更高，p = 0.001。面神经麻痹，Erb麻痹是常见的中枢神经系统损伤;围产期窒息较高，为24/61（39.1％）。软组织损伤占多数。面部和皮肤擦伤为37/61（60.7％），结膜下出血为25/61（40.1％），头颅血肿和睑下出血分别为10/61（16.4％）和8/61（13.1％）。锁骨骨折是最常见的5/61（8.2％），其次是肱骨4/61（6.6％）。两名肝脾破裂患者在入院后2天内死亡。结论：出生受伤的危险因素和预测因素相互交织。良好的产前护理和训练有素的人员对分娩过程的及时管理，可以避免很大程度上的出生伤害。

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