Fetal laceration injury at cesarean delivery

James F. Smith, Cesar Hernandez, Joseph R. Wax

Research output: Contribution to journalArticle

73 Scopus citations

Abstract

Objective: To investigate the incidence of fetal laceration injury in cesarean delivery. Methods: A retrospective review was conducted using a computer-based data coding system. All neonatal records were reviewed for infants delivered by cesarean during a 2-year period. Maternal records were reviewed in those cases of documented fetal laceration injury. The Fisher exact test was used when indicated. Results: There were 904 cesarean deliveries performed during the study period; of these, 896 neonatal records (98.4%) were available for review. Seventeen laceration injuries were recorded (1.9%). The incidence of laceration appeared higher when the indication for cesarean was non-vertex (6.0% versus 1.4%, P = .02). One of 17 (5.9%) maternal records indicated the presence of the laceration of the fetus. Conclusion: Fetal laceration injury at cesarean delivery is not rare, especially when it is performed for nonvertex presentation. The minority of obstetric records show documentation of such lacerations, suggesting that this complication often may not be recognized by obstetricians.

Original languageEnglish (US)
Pages (from-to)344-346
Number of pages3
JournalObstetrics and Gynecology
Volume90
Issue number3
DOIs
StatePublished - Sep 1 1997

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All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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