Monitoring of the clinical manifestations of skeletal birth injuries

One of the most common types of birth injuries is locomotor trauma: cephalohematomas of the parietal and occipital regions, injuries of the clavicles and tubular bones. The main clinical manifestations of birth trauma are subperiosteal hemorrhages, fractures, local swelling, limited movements; commo...

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Main Authors: D. V. Chekmareva, V. A. Vecherkin
Format: Article
Language:Russian
Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2017-05-01
Series:Rossijskij Vestnik Perinatologii i Pediatrii
Subjects:
Online Access:https://www.ped-perinatology.ru/jour/article/view/471
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author D. V. Chekmareva
V. A. Vecherkin
author_facet D. V. Chekmareva
V. A. Vecherkin
author_sort D. V. Chekmareva
collection DOAJ
description One of the most common types of birth injuries is locomotor trauma: cephalohematomas of the parietal and occipital regions, injuries of the clavicles and tubular bones. The main clinical manifestations of birth trauma are subperiosteal hemorrhages, fractures, local swelling, limited movements; common symptoms (a negative response and a baby’s crying, changes in heart rate, cardiac auscultatory pattern, blood pressure, pale skin, etc.). The purpose of this study is to improve the quality of medical care for the newborns, by monitoring the clinical manifestations of birth trauma.Sixty-seven newborn infants with skeletal birth trauma were examined. Significant changes were found in the function of the cardiovascular system (reduced systolic and diastolic blood pressure, increased pulse pressure, tachycardia, more rarely bradycardia, pale skin, and muffled heart sounds); indicators of pain syndrome (moderate and severe pain according to the Neonatal Infant Pain Scale (NIPS) in one-third of the patients); electrocardiographic changes (shortening of the QT and RR intervals, extension of the QRS complex, increased systolic index); neurosonographic changes (periventricular edema and hypoxic changes in all newborns with birth trauma).The findings are objective criteria for the severity of neonatal conditions and will assist in optimizing combination therapy for little patients with skeletal birth trauma.
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spelling doaj.art-a9365c481423494eb0b0262a6f91f3952023-03-13T09:12:43ZrusLtd. “The National Academy of Pediatric Science and Innovation”Rossijskij Vestnik Perinatologii i Pediatrii1027-40652500-22282017-05-01622454810.21508/1027-4065-2017-62-2-45-48432Monitoring of the clinical manifestations of skeletal birth injuriesD. V. Chekmareva0V. A. Vecherkin1ФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Минздрава РФФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Минздрава РФOne of the most common types of birth injuries is locomotor trauma: cephalohematomas of the parietal and occipital regions, injuries of the clavicles and tubular bones. The main clinical manifestations of birth trauma are subperiosteal hemorrhages, fractures, local swelling, limited movements; common symptoms (a negative response and a baby’s crying, changes in heart rate, cardiac auscultatory pattern, blood pressure, pale skin, etc.). The purpose of this study is to improve the quality of medical care for the newborns, by monitoring the clinical manifestations of birth trauma.Sixty-seven newborn infants with skeletal birth trauma were examined. Significant changes were found in the function of the cardiovascular system (reduced systolic and diastolic blood pressure, increased pulse pressure, tachycardia, more rarely bradycardia, pale skin, and muffled heart sounds); indicators of pain syndrome (moderate and severe pain according to the Neonatal Infant Pain Scale (NIPS) in one-third of the patients); electrocardiographic changes (shortening of the QT and RR intervals, extension of the QRS complex, increased systolic index); neurosonographic changes (periventricular edema and hypoxic changes in all newborns with birth trauma).The findings are objective criteria for the severity of neonatal conditions and will assist in optimizing combination therapy for little patients with skeletal birth trauma.https://www.ped-perinatology.ru/jour/article/view/471новорожденныеродовая травмапереломыкефалогематомабольсердечно-сосудистая системацентральная гемодинамика
spellingShingle D. V. Chekmareva
V. A. Vecherkin
Monitoring of the clinical manifestations of skeletal birth injuries
Rossijskij Vestnik Perinatologii i Pediatrii
новорожденные
родовая травма
переломы
кефалогематома
боль
сердечно-сосудистая система
центральная гемодинамика
title Monitoring of the clinical manifestations of skeletal birth injuries
title_full Monitoring of the clinical manifestations of skeletal birth injuries
title_fullStr Monitoring of the clinical manifestations of skeletal birth injuries
title_full_unstemmed Monitoring of the clinical manifestations of skeletal birth injuries
title_short Monitoring of the clinical manifestations of skeletal birth injuries
title_sort monitoring of the clinical manifestations of skeletal birth injuries
topic новорожденные
родовая травма
переломы
кефалогематома
боль
сердечно-сосудистая система
центральная гемодинамика
url https://www.ped-perinatology.ru/jour/article/view/471
work_keys_str_mv AT dvchekmareva monitoringoftheclinicalmanifestationsofskeletalbirthinjuries
AT vavecherkin monitoringoftheclinicalmanifestationsofskeletalbirthinjuries