The Role of Intranatal Risk Factors in the Pathogenesis of Birth Injury

Abstract

Rational management of labor refers to the most significant areas of practical obstetrics, since errors in predicting the outcome of labor through the birth canal often lead to the development of birth injury to the mother and fetus. Modern research methods and rational management of childbirth have led to a decrease in perinatal mortality. However, despite these achievements, the incidence of birth injury and subsequent disability of newborns is still at a level that is not acceptable for the XXI century.The purpose of the research was to study the structure and outcome of the generic injury of the fetus.Materials: Literature of foreign and domestic authors within the period from 2003 to 2018.Methods: Systematic analysis and synthesis of literary data.Conclusion: Despite the decline in perinatal mortality, the problem of disability of children, as well as violations of the quality of life due to birth trauma, remains relevant. This requires further study, the introduction of new diagnostic and clinical and prognostic technologies aimed at reducing birth injuries. Prevention of birth injury should be based on timely prenatal diagnosis of fetal macrosomia, determination of the optimal method of delivery, exclusion of iatrogenic factors of aggression during birth through the birth canal.

Keywords

• birth injury
• birth damage
• disability
• intranatal risk factors