Children aged birth to five years are exposed to a disproportionately increased amount of potentially traumatic events compared to older children. This review examines the prevalence of traumatic exposure in the birth-to-five age range, the indicators and diagnostic criteria of early traumatic stress, and the contextual issues associated with the experience of early trauma. The article also sel...

Birth is a very traumatic event. This is particularly emphasized by the frequency of intracranial haemorrhage and cerebral damage in the newborn infant. However, the greatest manipulative strain in all methods of delivery is imposed on the infant's neck and it is therefore surprising that there have been very few investigations of this region except following breech delivery. Moreover none of t...

INTRODUCTION The purpose of this study was to explore the impact of body mass index (BMI) or pregnancy weight gain on the presence, site, and severity of genital tract trauma at childbirth in nulliparous women. METHODS The present study is a subanalysis of a prospective cohort of healthy nulliparous women recruited during pregnancy and followed through birth. Weight gain during pregnancy and ...

Introduction: Neonatal obstetric traumas remain an important cause of morbidity-mortality. The objective of this study was to study obstetric traumatic lesions of the new-born in the paediatric department of the Centre hospitalier Roi Baudouin. Patients and method: This was a descriptive retrospective study of new-borns with obstetric trauma received at the Centre hospitalier Roi Baudouin’s pae...

OBJECTIVE To determine the frequency, types and complications of genital tract trauma during child birth. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of Obstetrics and Gynaecology, Unit I, Liaquat University of Medical and Health Sciences, Jamshoro, from June 2006 to May 2010. METHODOLOGY All women who sustained genital tract trauma during delivery at the study centre...

Abstract Objectives Birth-related mechanical trauma to the newborn is an important issue and may be underestimated [Chaturvedi A, Chaturvedi Stanescu AL, Blickman JG, Meyers SP. Mechanical birth-related neonate: imaging perspective. Insights Imag 2018;9:103–18]. Risk factors for injuries include vacuum or forceps delivery, large size gestational age abnormal presentation before delivery [Gupta ...

Abstract Introduction and hypothesis Obstetric anal sphincter injury (OASI) is a severe form of perineal trauma that can occur during vaginal birth. Long-term morbidities include incontinence psychosocial disorders. To reduce these injuries within England, Scotland Wales, the OASI Care Bundle was introduced to 16 maternity units (January 2017–March 2018). The comprises four elements: (1) antena...

Evidence-Based Answer Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer episiotomies, than those who have not performed massage. Women who have had a previous vaginal deliv...