Información adicional

• Num_publicacion 65(8)
• Resumen_ingles

  Introduction: The marked increase in the use of diverse types of obstetric instrumentation during fetal delivery, as well as in the number of cesarean sections, is currently a highly controversial topic. The objective of this report is to assess the relationship between different types of instruments and the incidence of specific obstetric injuries.

  Population and methods: Study of cases and controls, carried out in a study sample of 103 newborns with a discharge diagnosis of perinatal trauma, such as cephalhematoma, subgaleal hemorrhage, subarachnoid hemorrhage, epidural hemorrhage, subdural hemorrhage, cerebral hemorrhage, clavicular fracture and brachial plexus injuries.

  Results: The vacuum extractor was the most widely used instrument, and is considered to be a risk factor with respect to cesarean section in the provocation of cephalhematoma, subgaleal hemorrhage, subarachnoid hemorrhage, subdural hemorrhage and clavicular fracture.

  Discussion: The vacuum extractor is also, in absolute numbers, the instrument associated with a greater number of traumas. The high percentage of traumas produced with the vacuum extractor could be related to the high number of inductions that end in vacuum extraction. This fact suggests that the modality of delivery (spontaneous versus induced) is an essential factor, associated with perinatal morbidity, but that there are other important factors besides induction, including the type of cup used during vacuum extraction, fetal weight, epidural anesthesia and Kristeller's maneuver.

• Palabras_clave_ingles Neonatal morbidity obstetric trauma vacuum extraction forceps Cesarean section spatula spontaneous delivery Kristeller’s maneuver induction epidural anesthesia
• Todos_autores A. Sánchez Andrés, M. Gómez Tébar¹, M. Vento Torres, J. Colomer Revuelta²
• autores listados A. Sánchez Andrés, M. Gómez Tébar, M. Vento Torres, J. Colomer Revuelta
• Correspondecia
  A. Sánchez Andrés. Servicio de Pediatría. Hospital Universitario «La Fe». Avda. de Campanar, 11. 46009 Valencia.
  Correo electrónico: tonisanchan@hotmail.com
• Titulo_ingles Neonatal morbidity in instrumental delivery
• Centros_trabajo Servicio de Neonatología. ¹Servicio de Obstetricia y Ginecología. Hospital Materno-Infantil «La Fe». ²CAP «Fuente de San Luis». Facultad de Medicina. Universidad de Valencia. Valencia
• Publicado en Acta Pediatr Esp. 2007; 65(8): 381-387
• copyright ©2007 Ediciones Mayo, S.A.
• Fecha recepcion 14/05/07
• Fecha aceptacion 24/05/07