Birth and Neonatal Care Injuries: A Special Aspect of Newborn Surgery

Andreas Fette

doi:10.4172/2161-0665.1000132

Abstract

Nowadays birth (BI) and Neonatal Care (NCI) injuries have to be considered as a significant cause of neonatal morbidity and mortality. Since they are always delicate to manage after disclosure, they are usually less often reported. Thus, selections of extraordinary cases are presented most considerately. The institutional files of 18 neonates have been selected. In the BI-group 2 complex injuries happened during Caesareans, 5 during vaginal deliveries, while in the NCI-group 8 happened during NICU and 3 during home care. Median time of presentation has been the 2nd (Range 1-3) day, respectively the 1st (Range 1-3) week of life. Six neonates underwent surgery, 4 closed bone reduction, the remaining 8 could be treated non-surgical. Even lethal outcomes have to be considered. BI- injuries and NCI-injuries present as a special aspect of newborn surgery. For their successful management great expertise and empathy is needed by every individual carer in charge.

Highlights

Like clavicular fracture, cephal ohematoma or caput succedaneum, and neonatal care injuries, like bruises or malpuncture marks do happen in all day clinical practice, and for sure they will never be completely avoidable (Figure 1)
Our full attention to reduce them to an absolute minimum should nowadays be the golden standard. Will these tiny and most innocent babies not be at a constant risk to suffer an even more complex obstetrical or carerrelated trauma during or shortly after birth, anyway? Especially, since neonatal care is always multidisciplinary with obstetricians, neonatologists, intensivists, paediatric surgeons and a variety of different nursing staff involved
Any report or discussion should never be understood in the sense of accusation, claim or harsh critique about any well-meant action undertaken by the individual neonatal carer in charge

Summary

Introduction

Like clavicular fracture, cephal ohematoma or caput succedaneum, and neonatal care injuries, like bruises or malpuncture marks do happen in all day clinical practice, and for sure they will never be completely avoidable (Figure 1). Our full attention to reduce them to an absolute minimum should nowadays be the golden standard Will these tiny and most innocent babies not be at a constant risk to suffer an even more complex obstetrical (birth injury) or carerrelated trauma (neonatal care injury) during or shortly after birth, anyway? In order to avoid and prevent these complex birth- and neonatal care injuries, or even their simple counterparts, highest personal attention and alert should be put up by every neonatal carer in charge. Such a topic in general and any disclosure will always are considered as very critical and unpleasant.

Results

Discussion

Conclusion