Fetal Laceration Injury During Cesarean Delivery

• Main Authors: M Asgharnia, N Esmailpour
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2005-11-01
• Series: Journal of Research in Medical Sciences
• Online Access: http://journals.mui.ac.ir/jrms/article/view/41

Background: The rate of cesarean delivery has increased in last decade, whereas it has some complications. This study was conducted to determine the incidence of fetal laceration injury in cesarean delivery in Al-Zahara teaching maternity hospital (Rasht, June1999-October2000).
 Methods : It was a retrospective study using records of all neonates delivered by cesarean section during a 16 months period in Al-Zahara teaching maternity hospital. Maternal and neonatal records were reviewed in those cases with documented fetal laceration injuries. Lacerated and non-lacerated neonates were compared for maternal and neonatal characteristics.
 Results: There were 21 lacerated neonates (approximately %o. 4) out of 5289 neonates delivered by cesarean section during the study period. The incidence of laceration appeared to be higher in breach presentation and fetal distress when the indication of cesarean was considered (1.1% and 1%; p=0.045 and p=0.0026, respectively).
 Conclusion : Fetal laceration injury is a rare complication of cesarean delivery in cases of breech presentation and fetal distress.
 Keywords: cesarean, fetal injury, laceration