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首页> 外文期刊>Internet Journal of Pediatrics and Neonatology >Orthopaedic Birth Injuries In A Nigerian Hospital
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Orthopaedic Birth Injuries In A Nigerian Hospital

机译:尼日利亚一家医院的骨伤

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This study was conceived with the purpose of finding out why there was unusual increased in the neonatal fractures and Erb's palsy as seen in the outpatient. This was a 21 month retrospective study done at Wesley Guild Hospital Ilesa- an annex of a Nigerian teaching hospital. The clinical records of patients with orthopaedic birth injuries were reviewed. Information about gender, time of presentation, obstetric history of the pregnancies, management and outcome of the injuries. Eleven cases of orthpaedic birth injuries in 11 deliveries were recorded, 1 humeral fracture, 5 femural shaft fractures and 5 Erb's palsies. The fractures were diagnosed within 2 days of birth and they were managed conservatively with consolidation of fracture within 3 weeks while the neural injuries presented late with poorer outcome. It was noted that there was no antennal care for pregnancies in eight poor mothers who are primary and secondary school-drop-outs.It was concluded lack of antennal care which is a risk factor of birth injuries is seen in low income earners and mothers with low level of education and thus the health provider(s) should make health care delivery accessible and affordable. Introduction Injuries sustained at birth has been given different names such as birth trauma and obstetrical injuries and they are associated with different etiological causes.1,2 The important causes of these injuries has been associated with various etiological factors which are macrosomia , breech presentation, shoulder dystocia, and forceps-assisted deliveries have all been implicated.3 The incidence of major trauma was 3.16% in Finland.1 The injuries include fractures of long and short bones 4 ,5 and even depressed skull and orbital fracture6, neural injuries, like Erb's palsy , facial nerve injury7 other include laceration and even castration!8 The commoner injuries are fracture of the clavicle and Erb's palsy .1,6 Early detection and prompt management is important in the these pathologies. The study was conceived to know why when most of the injuries were seen in babies of low socio economic mothers and to advice accordingly. Methods This is a retrospective study. The clinical notes of patients with orthopaedic birth injuries between March 2002 and November 2004 at the Wesley Guild Hospital, Ilesa, Nigeria were analysed. The analysis was done on the basis of time of presentation, sex, age, aetiology, ante natal history of the pregnancies, and mothers' educational background and parity , treatment and outcome of management of the birth injuries. Clinical notes with doubtful records and documentation were excluded from the study. Result In this study, 11 patients in 11 deliveries with orthopaedic birth injuries were seen and males were 7 while the females were 4, the Male: Female ratio was 1.75:1. There were 382 live births within the period of study. The injuries included 6 fractures, comprising 5 femoral shaft fractures and 1 humeral shaft fracture; and 5 Erb's palsy. The problems were picked up between 1 to 25 days of delivery with mean of 7.55 ± 7.62 days. Deliveries were at different places including farm! Church=3, private nursing/hospitals =3 and 4 at the study center (a University teaching hospital)
机译:本研究的目的是找出为什么门诊病人所见新生儿骨折和Erb麻痹异常增加。这是在伊斯萨韦斯利公会医院(尼日利亚教学医院的附属建筑物)进行的为期21个月的回顾性研究。回顾了骨伤科患者的临床记录。有关性别,出诊时间,妊娠的产科史,受伤的处理和结果的信息。记录了11例分娩中11例骨科天生受伤,肱骨骨折1例,股骨干骨折5例和Erb麻痹5例。骨折在出生后2天内被诊断出,并在3周内保守合并骨折巩固进行治疗,而神经损伤出现较晚,预后较差。据指出,在八名中小学辍学的贫困母亲中,没有针对怀孕的天线护理,因此得出结论,在低收入者和有母亲的母亲中,缺乏天线护理是生育伤害的危险因素。教育水平较低,因此医疗服务提供者应使医疗服务可及且负担得起。引言出生时受伤有不同的名称,例如出生创伤和产科损伤,它们与不同的病因有关。1,2这些损伤的重要原因与各种病因相关,例如巨大儿,臀位,肩shoulder难产和镊子辅助分娩都被牵连。3芬兰的重大创伤发生率是3.16%。1受伤包括长骨和短骨骨折4,5,甚至颅骨和眶骨凹陷骨折6,神经损伤,如Erb's麻痹,面神经损伤7还包括割伤甚至去势!8最常见的损伤是锁骨骨折和Erb麻痹.1,6在这些病理中,早期发现和及时处理很重要。该研究旨在了解为什么在社会经济地位较低的母亲的婴儿中看到大多数伤害的原因,并提出相应的建议。方法这是一项回顾性研究。分析了2002年3月至2004年11月间在尼日利亚伊莱莎的韦斯利公会医院骨伤科患者的临床情况。根据出现的时间,性别,年龄,病因,怀孕的产前史以及母亲的受教育程度和同等性,分娩伤害的处理和结果进行分析。具有可疑记录和文件记录的临床记录被排除在研究之外。结果在本研究中,共观察到11例分娩的骨科分娩伤患者,其中男7例,女4例,男:女比例为1.75:1。在研究期间,有382例活产婴儿。受伤包括6处骨折,其中5处股骨干骨折和1处肱骨干骨折。和5 Erb的麻痹。在交付1至25天之间发现这些问题,平均为7.55±7.62天。送货地点包括农场在内!学习中心(大学教学医院)的教堂= 3,私人护理/医院= 3和4

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