Multiple Fractures and Iatrogenic Burns in a Newborn Due to Unskilled Delivery: A Case Report
), Reuben O Ogungbe(2),
(1)
(2)
Corresponding Author
Abstract
High neonatal mortality is the hallmark of developing countries. Most of the deaths are preventable by good antenatal care with risk identification and access to safe delivery. However, only about a third of births are attended by skilled personnel in Nigeria. The case of a newborn (one of a set of twins) delivered by breech in a church maternity, who sustained multiple fractures and thermal burns from resuscitation is presented. The mother had received antenatal care in an orthodox health facility but opted to deliver in the church maternity. We discuss the problems associated with delivery by unskilled birth attendants while reviewing the literature to highlight the roles and mechanisms of church birth attendants. Reproductive health education for women, their families and communities is advocated to enable birth preparedness. Training, supervision, monitoring and regulation of practice of church birth attendants will also be required to improve outcomes (Afr J Reprod Health 2008; 12[3]:197-206).
RĖSUMĖ
Des fractures multiples et brûlures iatrogéniques chez un nouveau-né en raison de l’accouchement non qualifié : Un rapport de cas et documentation La haute mortalité néonatale est la marque des pays en voie de développement. La plupart des morts sont évitables par un bon soin prénatal avec de risque identification et accès à un accouchement sans danger. Pourtant, seulement un tiers de naissance s'est occupé par des personnels qualifiés au Nigeria. Est présenté le cas d’un nouveau-né (l’un des jumeaux) accouché par le siège dans une clinique d’accouchement située dans une église, qui a eu des fractures multiples et des brûlures thermiques causées par la réanimation. La mère avait reçu des soins prénatals dans un établissement orthodoxe sanitaire mais avait choisi d’accoucher dans une clinique d’accouchement religieuse. Nous avons discuté les problèmes associés à l’accouchement par les accoucheurs non qualifiés en se documenter afin de mettre en relief les rôles et les mécanismes des accoucheurs religieux. L’éducation de la santé de reproduction pour des femmes, leurs familles et leurs communautés est recommandée afin de permettre la disposition de naissance. L’entrainement, la surveillance, le contrôle et le règlement de la pratique des accoucheurs religieux doivent aussi être requise d’améliorer les resultants (Afr J Reprod Health 2008; 12[3]:197-206).
KEY WORDS: Multiple fracture, DeIatrogenic burns, Newborn, Unskilled deliveries,
AbeokutaReferences
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