Comparison of “instrument-associated” and “spontaneous” obstetric depressed skull fractures in a cohort of 68 neonates

A depressed skull fracture is an inward buckling of the calvarial bones and is referred to as a “ping-pong” fracture. This study aimed to look at differences between “spontaneous” and “instrument-associated” depressed skull fractures. This retrospective, case-control analysis included every neonate...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2005, Vol.192 (1), p.165-170
Main Authors: Dupuis, Olivier, Silveira, Ruimark, Dupont, Corinne, Mottolese, Carmine, Kahn, Pierre, Dittmar, Andre, Rudigoz, René-Charles
Format: Article
Language:English
Subjects:
Biological and medical sciences
Birth Injuries - epidemiology
Birth Injuries - etiology
Birth Injuries - pathology
Case-Control Studies
Cohort Studies
Delivery, Obstetric - adverse effects
Delivery, Obstetric - instrumentation
Delivery, Obstetric - methods
Delivery. Postpartum. Lactation
Female
France - epidemiology
Gynecology. Andrology. Obstetrics
Hemorrhage
Humans
Infant, Newborn
Instrument delivery
Medical sciences
Obstetric Labor Complications - epidemiology
Obstetric Labor Complications - etiology
Obstetrical Forceps - adverse effects
Outcome Assessment (Health Care)
Pregnancy
Retrospective Studies
Risk Factors
Skull fracture
Skull Fracture, Depressed - epidemiology
Skull Fracture, Depressed - etiology
Skull Fracture, Depressed - pathology
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Summary:A depressed skull fracture is an inward buckling of the calvarial bones and is referred to as a “ping-pong” fracture. This study aimed to look at differences between “spontaneous” and “instrument-associated” depressed skull fractures. This retrospective, case-control analysis included every neonate who was admitted with a depressed skull fracture between 1990 and 2000. Cases after a spontaneous vaginal delivery, elective cesarean delivery, or cesarean delivery that was performed during labor without previous instrument use were classified as “spontaneous”(n = 18 cases). Cases after a delivery in which forceps or a vacuum cup had been used either successfully or unsuccessfully were classified as “instrument-associated” (n = 50 cases). Continuous data were analyzed with 2-tailed unpaired t tests; χ 2 analysis was used for nominal data. A probability value of
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2004.06.035