WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Rehab Mohammed Kheder*

ABSTRACT

Background: Birth injuries, often caused by labor forces or fetal mal-presentations, are common and can lead to significant mortality in the first 28 days of life. Early diagnosis and treatment are crucial, but newborns with inadequate care face higher mortality rates. Aim of the study: to investigate the common predisposing factors for neonatal birth trauma (NBT) in Mosul city. Patients and Methods: A case control study was conducted at Al-Batool Teaching Hospital from January to September 2024, involving 54 newborns; 27 of them had birth trauma. Both term and preterm babies with injury at birth, and excluded those with major congenital anomalies. Data were analyzed using SPSS version 26. The study included a comprehensive examination of each newborn, including a detailed history, physical examination, and relevant investigations. Results: The study found that cases of gestational age 30weeks+ had a higher risk of NBT compared to controls. Nulli para was a significant risk factor in 81.5% of cases, while primigravida was a risk factor in 12.57 times. Abortion was considered a protective factor in only 7.4% of cases. Co-morbidities were found in 48.2% of cases and 33.3% of controls, with NPOL being the commonest. No significant differences were found in birth weight and gestational age. Conclusion: Younger age mother, nullipara, primigravida, Facility-based emergency CS delivery, duration of ARM more than 30 min, and female sex were predisposing factors associated with NBT. Neither gestational age nor the birth weight showed role.