PATTEREN OF BIRTH TRAUMA IN NEWBORN PRESENTING TO NEONATOLOGY UNIT OF A TERTIARY CARE HOSPITAL AT PESHAWAR

ABSTRACT
Objective: To find-out the pattern and frequency of birth trauma in newborn presenting to neonatology unit, of tertiary
care hospital at Peshawar.
Material and Methods: This hospital based descriptive study was conducted in Neonatology Unit, of MTI/LRH, Peshawar.
All the neonates presented with birth trauma during the study period were included in the study.
Results: Out of 100 neonates, 51% males and 49% were females. Majority 83% neonates were in the weight range
of 3.1-4.00 Kg. Maximum 60% neonates were delivered in hospital and normal vaginal delivery noted in 80% cases.
Among birth trauma; Cephalhematoma was recorded in 25%, skin injuries in 23%, Caput succedaneum in 17%, bony
fracture 13%, brachial plexus injury in 07% cases. Bony fracture and skin injury noted in 05%, cephalhematoma and
bony fracture in 03%, cephalhaematoma and brachial plexus injury in 02%, cephalhaematoma and skin injury, cephalhaematoma
and any other, caput succedaneum and bony fracture, caput succedaneum and skin injury, brachial plexus
and skin injury were found in 01% case respectively
Conclusion: Cephalhematoma was the most common birth trauma recorded in 25% of cases. The mode of delivery i.e.
normal vaginal delivery, instrumental delivery and cesarean section delivery, weight; place of delivery did not showed
any strong association with birth traumas. Birth injuries were found in varying frequencies in this study.