Axlaklemma : skráning tilvika á kvennadeild Landspítalans 1979-1986

• Main Authors: Gerður Jónsdóttir, Jón Þorgeir Hallgrímsson, Reynir Tómas Geirsson, Marta Lárusdóttir, Atli Dagbjartsson
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2010
• Subjects: Axlarklemma; Fæðing; Fæðingarlækningar; Pregnancy; Shoulder; Dystocia; Iceland; Infant; Newborn; Delivery; Obstetric; Smella
• Online Access: http://hdl.handle.net/2336/100159

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn Skoða/Opna(view/open) The incidence and coding of shoulder dystocia at the Departments of Obstetrics and Gynaecology and of Pediatrics, National Hospital, Reykjavik, was evaluated by reviewing deliveries with this diagnosis during 1979-86 (coded cases) and all deliveries of babies with a birthweight of 4000 g and more during 1982-85 (uncoded cases). The diagnosed cases numbered 46 with a early incidence rate from one to nineteen deliveries, i.e. an increase in incidence 0.05% to 1.0%. This is likely to be due to improved registering of intrapartum diagnoses, rather than a true increase. In 1982-85 a total of 2150 babies of birthweight over 4000 g were born (23.8% of deliveries). In 132 of these difficulties in delivering the shoulders were described in the delivery notes (6.1%). The two study groups were compared to a healthy pregnant population (7). Maternal age and weight were similar in all groups, but height was significantly lower in the coded cases. Birthweight, parity and gestational length were all significantly greater in the dystocia groups. The midwifes' estimate of weight before delivery was inaccurate, usually underestimating weight by a mean of around 450 g. Instrumental delivery had been used in a quarter of the coded cases. Birth trauma was noted in 30.4% of the babies of the coded cases; most often clavicular fracture but also severe birth asphyxia and brachial nerve paresis. In the uncoded cases 10.6% sustained birth trauma. One of the 11 babies with nerve paresis at birth had signs of permanent damage at the age of two years. Shoulder dystocia is a serious emergency where permanent damage to the child can occur. Educated and skilled staff attending delivery is the most essential Erfið fæðing barns í hvirfilstöðu vegna árekstra axla við beinhluta fæðingargangs nefnist á ensku »shoulder girdle dystocias» Í þessari grein verður fyrirbærið kallað axlaklemma. Axlaklemma var skráð sem sjúkdómsgreining í 46 ...