Email this article Birth injuries in an extremely low birth weight newborn delivered by cesarean section: a case report
- Authors: Gorun E.Y.1, Parilov S.L.1, Maximov A.V.1,2
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Affiliations:
- Moscow Regional Research and Clinical Institute
- State University of Education
- Issue: Vol 11, No 1 (2025)
- Pages: 34-40
- Section: Case reports
- Submitted: 26.09.2024
- Accepted: 29.12.2024
- Published: 03.04.2025
- URL: https://for-medex.ru/jour/article/view/16190
- DOI: https://doi.org/10.17816/fm16190
- ID: 16190
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Abstract
There has been a recent increase in the proportion of newborns with extremely low birth weight. Prematurity is one of the risk factors for birth trauma. However, the relevant biomechanical mechanisms are described in Russian publications only for full-term newborns. Meanwhile, in foreign countries there is a current practice of reducing the number of autopsies, especially for extremely low birth weight newborns. Consequently, practical experience concerning birth injuries in extremely low birth weight newborns is highly appreciated.
The article discusses the morphological characteristics of the injury in an extremely low birth weight newborn delivered by cesarean section. The forensic examination revealed birth injuries consisting of soft tissues hemorrhages in the trunk, upper and lower extremities as a result of compression of the fetus during its extraction through a surgical incision in the uterus. Additionally, the examination revealed abnormal cranial configuration and soft tissue hemorrhages in the occipital region and left temporal muscle.
The increasing tensional stress resulted in the dissociation of the medullary veli and the falx cerebri, with an intradural hemorrhage in its posterior portion. Therefore, the reported case demonstrates the severity and the characteristics of the injury in an extremely low birth weight newborn as a result of an emergency cesarean section.
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About the authors
Ekaterina Yu. Gorun
Moscow Regional Research and Clinical Institute
Author for correspondence.
Email: katuhka30@mail.ru
ORCID iD: 0000-0002-7008-2975
SPIN-code: 4298-5402
MD
Россия, 61/2 Shchepkina st, Moscow,129110Sergey L. Parilov
Moscow Regional Research and Clinical Institute
Email: parilov.s@mail.ru
ORCID iD: 0000-0001-9888-4534
SPIN-code: 1764-7532
MD
Россия, 61/2 Shchepkina st, Moscow,129110Aleksandr V. Maximov
Moscow Regional Research and Clinical Institute; State University of Education
Email: mcsim2002@mail.ru
ORCID iD: 0000-0003-1936-4448
SPIN-code: 3134-8457
MD, Dr. Sci. (Medicine), Assistant Professor
Россия, 61/2 Shchepkina st, Moscow,129110; MoscowReferences
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