TY - JOUR
PY - 2020//
TI - Difficult birth is the main contributor to birthrelated fracture, and accidents to other neonatal fractures
JO - Acta paediatrica
A1 - Hogberg, Ulf
A1 - Fellman, Vineta
A1 - Thiblin, Ingemar
A1 - Karlsson, Ruth
A1 - Wester, Knut
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - AIM: Specific birthrelated fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birthrelated as well as other neonatal fractures.
METHODS: A population-based study on all infants born in Sweden 1997-2014; data was retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Outcome measures were birthrelated fractures (ICD-10 P-codes) and other neonatal fractures (ICD-10 S-codes).
RESULTS: The overall fracture incidence was 2.9 per 1,000 live birth (N=5,336); 92.6% had P-codes and 7.4% (S-codes). Some birthrelated fractures were diagnosed beyond the neonatal period. Other neonatal fractures could have been birthrelated. Clavicle fracture, (88.8%) was associated with adverse maternal- and infant anthropometrics and birth complications. The few neonates with rib fractures all had concomitant clavicle fracture. For skull fractures, a minor part was birthrelated, most were associated with accidents. Half of the long bone fractures were associated with accidents. Birthrelated femur fractures were associated with bone fragility risk factors. Five infants with abuse diagnoses had fractures: skull (4), long bone (2), and rib (1).
CONCLUSION: Birthrelated and other neonatal fractures are rarely diagnosed. Difficult birth is the main contributor to birthrelated fracture, and accidents to other neonatal fractures.
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Language: en
LA - en SN - 0803-5253 UR - http://dx.doi.org/10.1111/apa.15217 ID - ref1 ER -