The Conceptualization, Measurement, and Validation of Transient Mechanical Birth Trauma

Pressler, Jana L.; Hepworth, Joseph T.

doi:10.1177/10547730022158618

Cited by 8 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other than Volpe's classification of neurologic birth injuries affecting the cranium, central nervous system, and peripheral nerves, 38 the only scale found for evaluating the amount of birth trauma was a summative one for minor TMBT. 42 Furthermore, no scales were found in the literature for grading degrees, extent, or distinctions of major forms of birth trauma. Primarily, birth injury is characterized as a nominal variable in terms of it being present or absent.…”

Section: Predicting Major Newborn Birth Injuriesmentioning

confidence: 99%

See 1 more Smart Citation

Classification of Major Newborn Birth Injuries

Pressler¹

2008

Journal of Perinatal &Amp; Neonatal Nursing

Self Cite

View full text Add to dashboard Cite

A classification system of various forms of major newborn birth injuries is clearly lacking in the literature. Currently, no scales exist for distinguishing degrees, extent, or distinctions of major birth injuries. The purpose of this study was to use published and online literature to explore the timing, prediction, and outcomes of major newborn birth injuries. Potential antecedents and causes were used in depicting what were reported to be major birth injuries. The outcome of this literature search was the development of a classification table synthesizing the most frequently reported (n = 20) major newborn birth injuries. This classification was developed according to (1) types of tissue involved in the primary injury, (2) how and when the injury occurred, and (3) the relationship of the injury to birth outcomes. A classification scheme is critically needed as the first step to achieving preventive interventions and plans for long-term recovery from birth injuries. Because major birth trauma contributes to increased neonatal morbidity and mortality, its occurrence requires careful study and preventive efforts to better promote newborn health.

show abstract

Section: Predicting Major Newborn Birth Injuriesmentioning

confidence: 99%

“…42 For example, a newborn presenting with a skull fracture may also have a cephalhematoma and molding, which are TMBT injuries. But TMBT may go unrecognized when major birth injuries occur because major injuries overshadow seemingly harmless events that have occurred to newborns.…”

Section: Overview Of Birth Injuriesmentioning

confidence: 99%

Classification of Major Newborn Birth Injuries

Pressler¹

2008

Journal of Perinatal &Amp; Neonatal Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…1 Birth trauma ranges from minor and self-limited problems to severe injuries that could result in longlasting neonatal morbidity and mortality. [2][3][4][5][6][7] It is the most ignored and the least reported medical condition of the newborn in the world. [8][9][10][11] The overall prevalence of birth injuries has declined with improvements in obstetrical care and prenatal diagnosis in high-income countries.…”

Section: Introductionmentioning

confidence: 99%

Magnitude of birth trauma and its associated factors in South Wollo public hospitals, northeast Ethiopia, August 2021: Institutional-Based Cross-Sectional Study

et al. 2022

View full text Add to dashboard Cite

ObjectiveThe institutional-based cross-sectional study was designed to assess the magnitude of birth trauma and its associated factors in South Wollo, northeast Ethiopia.SettingThis study was conducted in the public hospitals of South Wollo, northeast Ethiopia. South Wollo is one of the 12 zones in the Amhara regional state with a total population of >3 million. There are 13 hospitals in South Wollo, of these 4 hospitals were selected randomly.ParticipantsA total of 612 mother-newborn pairs were selected to conduct the study. However, data were collected from 594 mother-neonate pairs giving a response rate of 97%. The study participants were selected by applying a simple random sampling technique after proportional allocation of the total sample to each study hospital. Live neonates delivered during the study period were included, whereas stillborn, neonates born with major congenital malformation and neonates whose mothers died during the birth process were excluded.ResultA total of 594 mother-newborn pairs were involved with a response rate of 97%. Seventy-eight newborns 13.13% (95% CI: 10.30 to 16.00) had experienced birth trauma. Prolonged labour (AOR: 5.78, 95% CI: 3.00 to 11.15), birth weight >4 kg (AOR: 9.18, 95% CI: 3.92 to 21.50), vacuum delivery (AOR: 6.74, 95% CI: 2.01 to 22.56), forceps delivery (AOR: 7.36, 95% CI: 1.96 to 27.58) and shoulder dystocia (AOR: 9.83, 95% CI: 4.13 to 23.50) were risk factors of birth trauma.ConclusionThe prevalence of birth trauma was higher than the report from most of the African countries. Prolonged labour, instrumental deliveries, large birth weight and shoulder dystocia were the identified risk factors of birth trauma. The ministry of health and the local healthcare system should give attention to the maternal health services.

show abstract

“…Conjunctival hemorrhages require no treatment and resolve completely within 7 to 10 days without risk of permanent damage. 24,46 Although more serious eye damage is rare, damage to the cornea and hemorrhage into the actual orbit of the eye has been described. 47,48 Corneal damage may occur if a forceps blade slips over the orbital wall and exerts pressure on the delicate cornea.…”

Section: Injury To the Eyementioning

confidence: 99%

“…45 These dilated blood vessels are damaged due to elevated venous pressure in the head and neck during the labor and delivery process; the presence of a tight nuchal cord may also contribute. 46 Injuries are readily apparent on physical examination as bright red patches present in the iris. Conjunctival hemorrhages require no treatment and resolve completely within 7 to 10 days without risk of permanent damage.…”

Section: Injury To the Eyementioning

confidence: 99%

Part 1

Parker

2005

Advances in Neonatal Care

View full text Add to dashboard Cite

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Sentinel Event Alert from July 21, 2004 states that there have been 47 cases of birth trauma-related perinatal death or permanent disability reported for JCAHO review since 1996. This report clearly illustrates the importance of birth trauma in clinical practice for neonatal and perinatal nurses. Estimates suggest that birth trauma occurs in 2% to 7% of all deliveries and is associated with an increase in both mortality and morbidity. Birth trauma to the head may result in minor superficial extracranial injuries, such as caput succedaneum and cephalohematoma, or more serious and potentially life threatening lesions such as subgaleal hemorrhages. The potential for deeper intracranial injury, such as subarachnoid or subdural hemorrhage exists; these may be isolated or associated with skull fractures and/or other extracranial injuries. Injury to the eye, nasal structures, and paralysis of the vocal cords may also result from birth trauma during a difficulty delivery. Part 1 of this 2-part article will focus on birth injuries to the head and face. Part 2 of the series will review more systemic birth injuries that may involve abdominal organs, the spine and skeletal system, and peripheral and facial nerves.

show abstract

The Conceptualization, Measurement, and Validation of Transient Mechanical Birth Trauma

Cited by 8 publications

References 25 publications

Classification of Major Newborn Birth Injuries

Classification of Major Newborn Birth Injuries

Magnitude of birth trauma and its associated factors in South Wollo public hospitals, northeast Ethiopia, August 2021: Institutional-Based Cross-Sectional Study

Part 1

Contact Info

Product

Resources

About