Intrauterine perineal tear: A rare birth injury

Bhat, B. Vishnu; Jagdish, S; Srinivasan, Sivaramakrishnan; Pandey, Kiran; Chatterjee, H

doi:10.1016/0022-3468(92)90528-f

Cited by 9 publications

(8 citation statements)

References 3 publications

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“…Breech delivery and the associated fetal manipulation have been associated with genital injuries. [19,20] In a French study of 45 children with testicular trauma, only one case was related to obstetric trauma. [21] An interesting but unfortunate case has been reported of a newborn who accidentally got castration at birth; this baby had a breech presentation that required episiotomy.…”

Section: Resultsmentioning

confidence: 99%

Unusual obstetric trauma in newborn

et al. 2020

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Background: Birth injuries during delivery are rare but can be the most common cause of morbidity and mortality. All parts of the body can be damaged. The aim of this study is to determine the impact of these uncommon injuries on the newborn. This is a retrospective chart review of 11 newborn babies who had concurrent birth trauma. Pertinent data on the cause of injury treatment and the outcome were recorded. Methods: It is a retrospective chart review of newborns who sustained a birth trauma during delivery. These patients presented to the Department of Pediatric Surgery, SETIF, Algeria from 2010 to 2020. Results: A total of 11 cases with birth trauma occurred during delivery were managed during the study tenure. Of these 11, 9 were males and 2 females. Two cases sustained scalp laceration including one extensive laceration exposing the brain tissue with uncontrollable hemorrhage. One newborn sustained facial trauma secondary to the forceps delivery. One newborn who needed resuscitation and ventilation at birth developed bilateral pneumothorax secondary to the barotrauma. One patient sustained a femur fracture whereas another had a humerus fracture along with brachial plexus injury during delivery. Three cases had umbilical cord injury including two cases of clamped hernia of the umbilical cord resulting in neonatal intestinal obstruction. Two cases had scrotal trauma including one with testicular evisceration. Two cases were expired in this cohort. Conclusion: We have presented a diversity of birth trauma in newborns and their management. Proper antenatal follow-up and better planning for the delivery can avoid such injuries in newborns which often require surgical interventions for the management and at times can lead to mortality as well.

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Section: Resultsmentioning

confidence: 99%

Unusual obstetric trauma in newborn

et al. 2020

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“…There are at least 2 previous reports of severe intrauterine tear in a baby as a result of birth trauma. Bhat et al [24] reported a neonate who sustained a severe intrauterine tear from repeated intrauterine examinations and subsequently died. Lickstein et al [25] described a rectovaginal tear occurring during caesarian delivery for breech presentation.…”

Section: Discussionmentioning

confidence: 98%

“…Lickstein et al [25] described a rectovaginal tear occurring during caesarian delivery for breech presentation. Both neonates required immediate surgical attention [24,25].…”

Section: Discussionmentioning

confidence: 99%

Intrauterine rectovaginal tear during a manual attempt to rotate a neonate

Al-Benna¹,

Tzakas²

2010

Journal of Pediatric Surgery

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“…It can also occur during cesarean delivery due to blunt dissection of endometrium or bimanual traction while delivering the breech from maternal pelvis. There are very few case reports regarding anal injuries in breech delivery, [1][2][3][4] but this is probably the first such incidence where it occurred due to artificial rupture of membranes. This injury stimulated baby to pass meconium in-utero which could be life threatening.…”

Section: Dear Sirmentioning

confidence: 99%

“…The more severe degree laceration of sphincter or those extending into rectum or genitalia are managed by a diverting stoma and primary repair. [1][2][3][4]…”

Section: Dear Sirmentioning

confidence: 99%