A fractured clavicle in the newborn. Birth injuries of the newborn

Injuries in childbirth are quite common, as if the doctors tried to avoid them. Not always women struggles to behave in, is not always the fruit behaves as written in the textbooks for midwives - a lot of unpredictable moments. But because of injuries, fortunately, they are mostly not too serious and do not require extensive treatment and rehabilitation.

Birth from the point of view of the fetus

A pregnant waiting, but at the same time afraid of the moment when they see their baby. This is not surprising, given how scary and painful, according to rumors, are birth. But some women completely forget that not only they, but their children have to pass this difficult path, fraught with serious challenges, when very much depends on the actions of strangers - doctors.

Indeed, if you think about it, during childbirth, the kids have to be in a very traumatic situation. Almost 40 weeks the child lived in a warm womb, heard the beating of mom's heart, ate, breathed and get rid of waste products through the umbilical cord - in short, was in very comfortable conditions. But now the old home literally pushing him out, banishing from himself. In order to see the new world, he must pass through a narrow passage. In this way the baby shifts to the bones of the skull, and he delivers a terrible inconvenience to my mom. In General, this path can hardly be called pleasant, even though he was designed by nature. No wonder he can be accompanied by various kinds of damage.

Birth injuries of the newborn

Despite all the naturalness of the process, quite often things don't go quite as it should. Fortunately, the development of medicine allows you to help the women, if there are any problems. But to rely too much on doctors not - they are not gods, but the woman needs to behave properly and be herself, not shifting the responsibility to the experts.

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The Concept of trauma during childbirth the baby includes a list of possible States, which are the consequence of some pathology either during pregnancy or during the delivery of her. This includes:

• Hypoxia;
• Cerebrovascular disease;
• Damage to blood vessels and nerves;
• Fractures, cracks, displacement of the bones;
• Muscle tears;
• Bruising of internal organs;
• Hemorrhage.

It All sounds very scary, especially when you consider that we are talking about a very small man, requires greater attention, even in the normal state. Fortunately, serious birth defects of newborns meet not so often. But why do they happen? A lot of options.

Causes

The Prerequisites for receiving any injuries during delivery can be many. Among them there are such diseases of pregnancy, as the discrepancy between the size of the fetus and the birth canal, abnormal presentation, umbilical cord entanglement, occupation incorrect head position in the pelvis. In addition to the reasons include very high or low rate of current delivery, stimulation, wrong position or actions of the mother.

Sometimes part of the responsibility lies with the doctors who use such outdated and hazardous techniques like vacuum extraction or forceps. Obstetric rotation is also not conducive to maintaining the health of the baby, but, to be honest, it is unlikely to perform without a serious need. And generally speaking, any abnormalities during pregnancy and childbirth can cause the relevant injury. Fortunately, it usually turns out immediately, during the inspection of the neonatologist, and therefore, necessary measures can be taken quickly enough.

Well, what a mother can do to prevent that to happen to her baby? First of all, to go to antenatal classes and learn how to pass labor and why it is so important to listen to the midwives and doctors. And, of course, should not refuse a cesarean section, if it is insisted upon by the physicians, it can help to avoid many problems.

Fracture of clavicle

The newborn during childbirth there comes a point when the head is already out, and the shoulders yet. Here, the midwife requires special care and tenderness. If you start to pull the crown too hard or allow even a small rotation around the axis, can easily damage the delicate bones. And directly you can also cause trauma breech with excessive pressure. In fact, a broken clavicle in the newborn is one of the most common birth injury. According to current data, it get 11-12 babies from 1000. Quite often it is accompanied by other damage: paresis and paralysis of the limbs, the rupture of the sternocleidomastoid muscles, fractures of other bones.

Diagnostics

Despite the fact that such injury may not be identified at the initial examination usually notice her in the first hours or days. The idea that he had a fracture of the clavicle in the newborn, can induce the following symptoms:

• Increased the restlessness of the baby, poor appetite and slow weight gain;
• A small swelling in the shoulder area;
• The asymmetryfolds;
• Unusual head position;
• The elevation of one shoulder above the other;
• Dangling from one hand.

To Verify his suspicions the medical can using x-rays, which will tell clearly if there is any fracture and complicated it is. Often it can also be figured out by palpation, but in this case there is a risk of slipping debris and aggravate damage. So despite the fact that it is quite common, cannot be considered nonsense a fractured clavicle in the newborn.

Treatment

In children, especially the very young bones heal pretty quickly, because they are still soft. And most of the fractures do not require any special measures, except that heightened attention to the behavior of the baby, careful handling and changing Mat. In rare cases, require immobilization, i.e. immobilization of the limb with the use of special bandages and splints. Finally, if very unlucky, surgery may be needed, in which the pieces gather together, but the probability of this is negligible, as is too rarely found complete fracture of a clavicle in the newborn. The consequences of this injury, or rather, the lack thereof, and prospects for its cure, fortunately, is almost always pleasing. So do not worry ahead of time.

Perspectives

The Treatment of uncomplicated fracture usually does not involve any difficulties for about a week at the site of injury forming a so-called callus, which eventually transformirovalsya in the bone tissue, completing the regeneration process. If there is a displacement of fragments and additional injury, to talk about the prospects difficult - in each case they own, so we should listen to the recommendations of a physician.

Consequences

A Fractured clavicle in the newborn usually does not deliver serious inconvenience to him, even as little effect on the mobility of the limb. However, even if the bone had been damaged quite seriously, usually full mobility is restored within a week or two. Any cosmetic defects associated with the trauma, also go pretty fast. With reasonable confidence we can say that in the General case, the fracture of the clavicle in the newborn does not have any distinct consequences in the future.