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Retrospective study: clavicular fracture is not evidence of botched delivery.(Obstetrics)

OB GYN News

| July 01, 2004 | Johnson, Kate | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PHILADELPHIA -- Clavicular fractures occur in roughly 1% of newborns and should not be seen as evidence that excessive force was used in the delivery, according to a retrospective study of 1,336 births.

"We've shown they're of little significance and do not signify that something has been done wrong by the doctor," said Dr. Bruce L. Flamm, who presented the findings in poster form at the annual meeting of the American College of Obstetricians and Gynecologists.

The births occurred over a 6-month period at Kaiser Permanente Medical Center in Riverside, Calif., where Dr. Flamm is area research chairman and a practicing ob.gyn.

Twelve cases of clavicular fracture in asymptomatic newborns were uncovered; diagnosis was often made after discharge. Infants with clavicular fracture often appear clinically normal, and the diagnosis may be missed unless it is specifically targeted, Dr. Flamm explained in an interview.

"We started some intensive screening in the pediatrics department, and suddenly these ...

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