Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures
Högberg, Ulf ; Fellman, Vineta LU
; Thiblin, Ingemar
; Karlsson, Ruth
and Wester, Knut
(2020)
In Acta Paediatrica, International Journal of Paediatrics
109(10).
p.2040-2048
- Abstract
Aim: Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures. Methods: A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birth-related fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes). Results: The overall fracture incidence was 2.9 per 1000 live birth (N = 5336); 92.6% had P-codes and 7.4% (S-codes). Some birth-related fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birth-related. Clavicle... (More)
Aim: Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures. Methods: A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birth-related fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes). Results: The overall fracture incidence was 2.9 per 1000 live birth (N = 5336); 92.6% had P-codes and 7.4% (S-codes). Some birth-related fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birth-related. Clavicle fracture (88.8%) was associated with adverse maternal and infant anthropometrics and birth complications. The few neonates with rib fractures all had concomitant clavicle fracture. For skull fractures, a minor part was birth-related and most were associated with accidents. Half of the long bone fractures were associated with accidents. Birth-related femur fractures were associated with bone fragility risk factors. Five infants with abuse diagnoses had fractures: skull (4), long bone (2) and rib (1). Conclusion: Birth-related and other neonatal fractures are rarely diagnosed. Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures.
(Less)
- author
- Högberg, Ulf
; Fellman, Vineta
LU
; Thiblin, Ingemar
; Karlsson, Ruth
and Wester, Knut
- organization
- publishing date
- 2020-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- abuse, accidents, birth injuries, fractures, newborn infants
- in
- Acta Paediatrica, International Journal of Paediatrics
- volume
- 109
- issue
- 10
- pages
- 9 pages
- publisher
- Wiley-Blackwell
- external identifiers
-
- scopus:85081005060
- pmid:32034798
- ISSN
- 0803-5253
- DOI
- 10.1111/apa.15217
- language
- English
- LU publication?
- yes
- id
- 4be3939b-52b7-43ab-9db7-e3f186a85f11
- date added to LUP
- 2020-03-24 15:40:06
- date last changed
- 2024-06-12 10:49:42
@article{4be3939b-52b7-43ab-9db7-e3f186a85f11,
abstract = {{<p>Aim: Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures. Methods: A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birth-related fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes). Results: The overall fracture incidence was 2.9 per 1000 live birth (N = 5336); 92.6% had P-codes and 7.4% (S-codes). Some birth-related fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birth-related. Clavicle fracture (88.8%) was associated with adverse maternal and infant anthropometrics and birth complications. The few neonates with rib fractures all had concomitant clavicle fracture. For skull fractures, a minor part was birth-related and most were associated with accidents. Half of the long bone fractures were associated with accidents. Birth-related femur fractures were associated with bone fragility risk factors. Five infants with abuse diagnoses had fractures: skull (4), long bone (2) and rib (1). Conclusion: Birth-related and other neonatal fractures are rarely diagnosed. Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures.</p>}},
author = {{Högberg, Ulf and Fellman, Vineta and Thiblin, Ingemar and Karlsson, Ruth and Wester, Knut}},
issn = {{0803-5253}},
keywords = {{abuse; accidents; birth injuries; fractures; newborn infants}},
language = {{eng}},
number = {{10}},
pages = {{2040--2048}},
publisher = {{Wiley-Blackwell}},
series = {{Acta Paediatrica, International Journal of Paediatrics}},
title = {{Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures}},
url = {{http://dx.doi.org/10.1111/apa.15217}},
doi = {{10.1111/apa.15217}},
volume = {{109}},
year = {{2020}},
}