Fracture of the collarbone in the newborn. Birth injuries of newborns

Trauma at delivery is quite common, no matter how doctors try to avoid them. It's not always that women behave correctly during fights, not always the fetus behaves as it is written in textbooks for midwives - there are many unpredictable moments. That is why injuries occur, fortunately, they are mostly not too serious and do not require long treatment and rehabilitation.

Birth in terms of the fetus

Many pregnant women are waiting, but at the same time they are afraid of the moment when they see their baby. This is not surprising, considering how terrible and painful, it is rumored that childbirth is taking place. But some women completely forget that not only them, but also their children have to go through this difficult path, involving serious trials, when very much depends on the actions of strangers - doctors.

Indeed, if you think about it, in the course of childbirth, the kids have to be in a very traumatic situation. Almost 40 weeks the child lived in a warm uterus, heard my mother's heartbeat, ate, breathed and got rid of waste of life through the umbilical cord - in a word, was in very comfortable conditions. But now the old dwelling literally pushes it out, banishing itself. And in order to see the new world, he needs to go through a narrow passage. In the course of this journey, the baby's skull bones are displaced, and he also causes terrible inconvenience to his mother. In general, this path can hardly be called pleasant, although it is conceived by such a nature. Not surprisingly, it can be accompanied by various kinds of damage.

Birth injuries of newborns

Despite all the naturalness of the process, quite often something goes not quite as it should. Fortunately, the development of medicine can help women if there are any problems. But too it is impossible to rely on doctors - they are not gods, and the woman in childbirth should behave correctly and herself, without shifting all responsibility to specialists.

The concept of trauma at childbirth in a baby includes a whole list of possible conditions that are the result of some pathologies either during pregnancy or at a resolution from it. These include:

• Hypoxia;
• Impaired cerebral circulation;
• Damage to blood vessels and nerves;
• Fractures, cracks, bone dislocations;
• Muscle ruptures;
• Hematomas of internal organs;
• Hemorrhage.

All this sounds very scary, especially when you consider that this is a very small man, who requires a lot of attention even in his usual state. Fortunately, serious birth injuries of newborns are not so often. But why do they even happen? There are many options.

Causes

The preconditions for getting any injuries in the process of giving birth can be many. Among them, pathology of the course of pregnancy is distinguished, such as mismatch between fetal and birth canal dimensions, abnormal presentation, cord injury, occupation of the wrong position of the head in the small pelvis. In addition, the reasons can be attributed too high or low rate of delivery, stimulation, abnormal position or actions of the mother.

Sometimes part of the responsibility falls on physicians who apply such obsolete and dangerous methods as vacuum extraction or the application of forceps. Obstetric twist also does not contribute to the preservation of the health of the baby, but, to be honest, it is unlikely to be performed without serious need for it. And speaking in general, any deviations from the norm during pregnancy and childbirth can cause the corresponding injuries. Fortunately, this, as a rule, is found out right there, when examined by a neonatologist, which means that the necessary measures can be taken quite quickly.

Well, what can a mother do to prevent this happening to her child? First of all - go to the courses for pregnant women and find out how the birth is taking place and why it is so important to listen to midwives and doctors. And, of course, you should not give up cesarean section, if doctors insist on it, it can help to avoid a lot of problems.

Fracture of clavicle

In a newborn child, during childbirth, a moment comes when the head has already left, and the shoulders are not yet there. And here from the midwife requires special care and tenderness. If you start to pull the head too hard or allow even a slight rotation around the axis, you can easily damage the thin bones. And it is directly possible to provoke this trauma in pelvic presentation with excessive pressure. Actually, a fracture of the collarbone in a newborn is one of the most common birth trauma. According to modern data, it receives 11-12 kids out of 1000. Quite often it is accompanied by other injuries: paresis and paralysis of the extremities, rupture of the sternocleidomastoid muscle, fractures of other bones.

Diagnostics

Despite the fact that such a trauma can not be detected during a primary examination, it is usually noticed in the first hours or days. On the idea that there was a fracture of the collarbone in a newborn, can lead to the following symptoms:

• Increased restlessness of the baby, poor appetite and slow weight gain;
• Small swelling in the shoulder area;
• Asymmetry of folds;
• Uncharacteristic position of the head;
• The elevation of one of the shoulders above the other;
• The dangling of one of the hands.

To check up the suspicions physicians can by means of X-ray research which will tell unequivocally, whether there is a fracture and it is complicated. Often this can be determined with the help of palpation, but in this case there is a risk to displace fragments and aggravate the damage. So despite the fact that it is quite common, one can not take as a nonsense the fracture of the collarbone in newborns.

Treatment

In children, especially very young, the bones coalesce fairly quickly, because they are still soft. And most of the fractures do not require any special measures at all, except that increased attention to the behavior of the baby, careful treatment and swaddling. In rare cases, immobilization is required, that is immobilization of the limb with the use of special dressings and tires. Finally, if very unfortunate, an operation may be required during which the fragments will gather together, but the probability of this is negligible, since a full fracture of the collarbone in a newborn is too rare. The consequences of this trauma, or rather, their absence, and the prospects for its cure, fortunately, are almost always encouraging. So do not worry ahead of time.

Prospects

Treatment of an uncomplicated fracture is usually not associated with any difficulties - for about a week at the site of damage, so-called corn is formed, which eventually transforms into bone tissue, completing the regeneration process. If there has been a shift in the fragments and additional injuries, it is difficult to talk about the prospects - in each case, they are their own, so you should listen to the recommendations of the treating doctor.

Effects

Fracture of the collarbone in a newborn usually does not cause him serious inconvenience, because even little affects the mobility of the limb. Nevertheless, even if the bone was severely damaged, usually complete mobility is restored within a week or two. Any cosmetic defects associated with trauma also leave fairly quickly. With a sufficient degree of certainty it can be said that in the general case, a fracture of the collarbone in a newborn does not have any pronounced consequences in the future.