The Role of Intranatal Risk Factors in the Pathogenesis of Birth Injury
https://doi.org/10.29413/ABS.2020-5.1.1
Abstract
Rational management of labor refers to the most significant areas of practical obstetrics, since errors in predicting the outcome of labor through the birth canal often lead to the development of birth injury to the mother and fetus. Modern research methods and rational management of childbirth have led to a decrease in perinatal mortality. However, despite these achievements, the incidence of birth injury and subsequent disability of newborns is still at a level that is not acceptable for the XXI century.
The purpose of the research was to study the structure and outcome of the generic injury of the fetus.
Materials: Literature of foreign and domestic authors within the period from 2003 to 2018.
Methods: Systematic analysis and synthesis of literary data.
Conclusion: Despite the decline in perinatal mortality, the problem of disability of children, as well as violations of the quality of life due to birth trauma, remains relevant. This requires further study, the introduction of new diagnostic and clinical and prognostic technologies aimed at reducing birth injuries. Prevention of birth injury should be based on timely prenatal diagnosis of fetal macrosomia, determination of the optimal method of delivery, exclusion of iatrogenic factors of aggression during birth through the birth canal.
About the Authors
M. N. MochalovaRussian Federation
Marina N. Mochalova – Cand. Sc. (Med.), Docent, the Head of the Obstetrics and Gynecology Department of the Medical and Dental Faculties
V. A. Mudrov
Russian Federation
Viktor A. Mudrov – Cand. Sc. (Med.), Associate Professor of the Obstetrics and Gynecology Department of the Medical and Dental Faculties
S. V. Novokshanovа
Russian Federation
Svetlana V. Novokshanova – Teaching Assistant of the Obstetrics and Gynecology Department of the Medical and Dental Faculties
References
1. Strelchenko OV, Chernyshev VM, Mingazov IF. Key indicators of public health and healthcare of the Siberian Federal District in 2017. In: Strelchenko OV (ed). Sbornik statisticheskikh i analiticheskikh materialov. Novosibirsk; 2018: 64-121. (In Russ.)
2. Kravchenko EN. Birth injury: obstetric and perinatal aspects. Moscow: GEOTAR-Media; 2009. (In Russ.)
3. Palchik AB, Shabalov NP. Hypoxic-ischemic encephalopathy of the newborn. Moscow: MEDpress-inform; 2013. (In Russ.)
4. Barashnev YuI. Perinatal neurology. Moscow: Triada-H; 2011. (In Russ.)
5. Harlamenkova RA, Vojtenko VA. Birth injury to newborns. Smolenskiy meditsinskiy al’manakh. 2018; (2): 164-167. (In Russ.)
6. Vlasyuk VV. Brain pathology in infants and young children. Moscow: Logosfera; 2014. (In Russ.)
7. Vlasyuk VV. Birth injury and perinatal cerebrovascular accident. Sankt-Peterburg: «Nestor-Istoriya»; 2009. (In Russ.)
8. Vodolackij MP, Vodolackij VM. Damage to the maxillofacial region during childbirth and their consequences. Stavropol; 2009. (in Russ.)
9. Chepel TV. Obstetric and perinatal pathology as a risk factor for childhood disability. Pacific Medical Journal. 2012; (4): 82-84. (In Russ.)
10. Morozova EA, Madyakina AA. Attention deficit hyperactivity disorder from the perspective of perinatal brain pathology. Neurological Bulletin. 2011; 13(2): 81-85. (In Russ.)
11. Bubnova NI, Parilov SL. Mechanisms of traumatic brain injury in newborns. Siberian medical review. 2009; 3(7): 107-110. (In Russ.)
12. Ratner AYu. Neurology of the newborn: acute period and late complications. Moscow: BINOM; 2008. (In Russ.)
13. Makarov OV (ed.). Obstetrics. Clinical Lectures: A Training Manual. Moscow: GEOTAR-Media; 2007. (In Russ.)
14. Volpe JJ. Neurology of the newborn. 5th ed. Philadelphia: WB Saunders; 2008.
15. Mudrov VA. The choice of the optimal method of delivery in pregnant women with macrosomia of the fetus. Bulletin of RSMU. 2013; (S2): 149-152. (In Russ.)
16. Barinov SV, Shamina IV, Chulovskij YuI, Belkova T, Barbanchik IA, Chekanceva YuA. Risk factors and causes of development of cephalhematomas in modern conditions. Siberian medical journal (Irkutsk). 2013; 116(1): 47-49. (In Russ.)
17. Safronova LE, Bryuhina EV. Cephalohematomas. Modern view of the problem. Medicine in Kuzbass. 2009; (4): 80-84. (In Russ.)
18. Vlasyuk VV, Lobzin YuV, Nesmeyanov AA. The regularity of the relationship between the location of the area of periosteal stagnation of the roof of the skull and the localization of cerebellar rupture breaks in fetuses and newborns born during spontaneous birth and head presentation. In: Potockij VV (ed.). Discoveries. Moscow: RAEN; 2011: 13-15. (In Russ.)
19. Vlasyuk VV, Lobzin YuV, Nesmeyanov AA. A method for determining the localization of the wire point of the head to skull changes in deceased fetuses and newborns. Patent N 2470583 of the Russian Federation; 2012. (In Russ)
20. Vlasyuk VV, Lobzin YuV, Nesmeyanova AA. Birth damage to the cerebellar tent and the problem of asynclitism in the configuration of the fetal head in childbirth. Jornal of New Medical Technologies, 2011; 18(3): 241-244. (In Russ.)
21. Milovanov AP. Pathological differential diagnosis of traumatic and hypoxic brain damage in the fetus and newborn. Omsk; 2003. (In Russ.)
22. Manuhin IB, Podtetenev AD, Ponomareva YuN, Kuznecov MI. Prenatal diagnosis: educational and methodological manual for doctors. Moscow: Medpraktika-M; 2011. (In Russ.)
23. Morozov VI, Podshivalin AA, Chigvincev GE. A rare case of intranatal liver injury in a newborn. The Bulletin of Contemporary Clinical Medicine. 2012; 5(4): 29-31. (In Russ.)
24. Parilov SL, Sikorskaya AK, Gejfullina LR. Biomechanism of birth trauma of the fetus during cesarean section. Russian Journal of Forensic Medicine. 2016; 2(1): 14-17. doi: 10.19048/2411-8729- 2016-2-1-14-17 (In Russ.)
Review
For citations:
Mochalova M.N., Mudrov V.A., Novokshanovа S.V. The Role of Intranatal Risk Factors in the Pathogenesis of Birth Injury. Acta Biomedica Scientifica. 2020;5(1):7-13. (In Russ.) https://doi.org/10.29413/ABS.2020-5.1.1