Prevalence of Neonatal birth trauma in Iran: a systematic review and meta-analysis

Document Type: systematic review

Authors

1 Clinical Research Development, Imam Khomeini Hospital, Ilam University of Medical Sciences, Ilam, Iran AND Assistant Professor of Pediatrics, Department of Pediatrics, Ilam University of Medical sciences, Ilam, Iran.

2 Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.

3 MSc Student of Pediatric, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

4 School of Allied Medical Sciences, Ilam University of Medical sciences, Ilam, Iran.

5 Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.

6 School of Allied Medical Sciences, Ilam University of Medical sciences, Ilam, Iran AND Zoonotic Disease Research Center, Ilam University of Medical Sciences, Ilam, Iran.

7 Associate Professor of Pediatrics Gastroenterology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran

8 Università degli Studi "La Sapienza" di Roma, Public Health and Infectious Diseases, Undergraduate, Italy

10.22038/ijp.2020.50652.4032

Abstract

Background: Due to the importance of neonatal health, this study was performed by systematic review and meta-analysis with the aim of determining the prevalence of birth trauma in neonates in Iran.
 Methods: This systematic review and meta-analysis study was conducted  according to the PRISMA’s checklist items. This study was reviewed the articles published in Iran between 2000 and the beginning of July 2020. In this article, PICO indicators were used. Search in national databases in Iran(Scientific Information Database(SID), Iran Medex, Mag Iran, Iran Doc) and international databases(Scopus, PubMed/Medline, Embase, Web of Science (ISI), Cinahl, ScienceDirect) with keywords: Infant, Newborn, Birth Injuries, trauma, was done. The search was performed by two researcher. Data were analyzed using CMA software.
 Results: In this systematic review and meta-analysis study the total sample size of neonates in 9 studied articles was 42327 neonates. Also 9 articles had the necessary criteria to enter this systematic review and meta-analysis. also, the overall prevalence of Neonatal birth trauma is 2.7% (95% CI [1.3, 5.3]), the prevalence of asphyxia in infants is 0.03 %(95% CI [0.02- 0.04]), the prevalence of brachial plexus paralysis is congenital. In infants equal to 0.02% (95% CI [0.01- 0.06]), the prevalence of congenital fracture in infants equal to 0.03% (95% CI [0.01- 0.08]), the prevalence of congenital injury in infants was 0.02% (95% CI [0.00-0.75])and the prevalence of soft tissue injury at birth in infants was 0.02 %(95% CI [0.02- 0.03]).
 Conclusion: Due to the high prevalence of birth trauma in infants in Iran, therefore, interventions are recommended to reduce it. Further studies on the factors affecting it need to be done to appropriate interventions to reduce it.

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