Mechanical birth-related trauma to the neonate: An imaging perspective

Abstract Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries ar...

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Main Authors: Apeksha Chaturvedi, Abhishek Chaturvedi, A. Luana Stanescu, Johan G. Blickman, Steven P. Meyers
Format: Article
Language:English
Published: SpringerOpen 2018-01-01
Series:Insights into Imaging
Subjects:
Online Access:http://link.springer.com/article/10.1007/s13244-017-0586-x
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spelling doaj-1ff4c2a014f1418cab4d99943816aad02020-11-25T00:10:20ZengSpringerOpenInsights into Imaging1869-41012018-01-019110311810.1007/s13244-017-0586-xMechanical birth-related trauma to the neonate: An imaging perspectiveApeksha Chaturvedi0Abhishek Chaturvedi1A. Luana Stanescu2Johan G. Blickman3Steven P. Meyers4Department of Imaging Sciences, University of Rochester Medical CenterDepartment of Imaging Sciences, University of Rochester Medical CenterDepartment of Radiology, Seattle Children’s HospitalDepartment of Imaging Sciences, University of Rochester Medical CenterDepartment of Imaging Sciences, University of Rochester Medical CenterAbstract Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries are estimated to occur among 2.6% of births. Although more usual in context of existing feto-maternal risk factors, their occurrence can be unpredictable. While often superficial and temporary, functional and cosmetic sequelae, disability or even death can result as a consequence of birth-related injuries. The Agency for Healthcare research and quality (AHRQ) in the USA has developed, through expert consensus, patient safety indicators which include seven types of birth-related injuries including subdural and intracerebral hemorrhage, epicranial subaponeurotic hemorrhage, skeletal injuries, injuries to spine and spinal cord, peripheral and cranial nerve injuries and other types of specified and non-specified birth trauma. Understandably, birth-related injuries are a source of great concern for the parents and clinician. Many of these injuries have imaging manifestations. This article seeks to familiarize the reader with the clinical spectrum, significance and multimodality imaging appearances of neonatal multi-organ birth-related trauma and its sequelae, where applicable. Teaching points • Mechanical trauma related to birth usually occurs with pre-existing feto-maternal risk factors. • Several organ systems can be affected; neurologic, musculoskeletal or visceral injuries can occur. • Injuries can be mild and transient or disabling, even life-threatening. • Imaging plays an important role in injury identification and triage of affected neonates.http://link.springer.com/article/10.1007/s13244-017-0586-xNeonateMechanical traumaMacrosomiaInstrumental deliveryCephalopelvic disproportion
collection DOAJ
language English
format Article
sources DOAJ
author Apeksha Chaturvedi
Abhishek Chaturvedi
A. Luana Stanescu
Johan G. Blickman
Steven P. Meyers
spellingShingle Apeksha Chaturvedi
Abhishek Chaturvedi
A. Luana Stanescu
Johan G. Blickman
Steven P. Meyers
Mechanical birth-related trauma to the neonate: An imaging perspective
Insights into Imaging
Neonate
Mechanical trauma
Macrosomia
Instrumental delivery
Cephalopelvic disproportion
author_facet Apeksha Chaturvedi
Abhishek Chaturvedi
A. Luana Stanescu
Johan G. Blickman
Steven P. Meyers
author_sort Apeksha Chaturvedi
title Mechanical birth-related trauma to the neonate: An imaging perspective
title_short Mechanical birth-related trauma to the neonate: An imaging perspective
title_full Mechanical birth-related trauma to the neonate: An imaging perspective
title_fullStr Mechanical birth-related trauma to the neonate: An imaging perspective
title_full_unstemmed Mechanical birth-related trauma to the neonate: An imaging perspective
title_sort mechanical birth-related trauma to the neonate: an imaging perspective
publisher SpringerOpen
series Insights into Imaging
issn 1869-4101
publishDate 2018-01-01
description Abstract Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries are estimated to occur among 2.6% of births. Although more usual in context of existing feto-maternal risk factors, their occurrence can be unpredictable. While often superficial and temporary, functional and cosmetic sequelae, disability or even death can result as a consequence of birth-related injuries. The Agency for Healthcare research and quality (AHRQ) in the USA has developed, through expert consensus, patient safety indicators which include seven types of birth-related injuries including subdural and intracerebral hemorrhage, epicranial subaponeurotic hemorrhage, skeletal injuries, injuries to spine and spinal cord, peripheral and cranial nerve injuries and other types of specified and non-specified birth trauma. Understandably, birth-related injuries are a source of great concern for the parents and clinician. Many of these injuries have imaging manifestations. This article seeks to familiarize the reader with the clinical spectrum, significance and multimodality imaging appearances of neonatal multi-organ birth-related trauma and its sequelae, where applicable. Teaching points • Mechanical trauma related to birth usually occurs with pre-existing feto-maternal risk factors. • Several organ systems can be affected; neurologic, musculoskeletal or visceral injuries can occur. • Injuries can be mild and transient or disabling, even life-threatening. • Imaging plays an important role in injury identification and triage of affected neonates.
topic Neonate
Mechanical trauma
Macrosomia
Instrumental delivery
Cephalopelvic disproportion
url http://link.springer.com/article/10.1007/s13244-017-0586-x
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