产伤性骨折是难产严重的并发症,对新生儿危害极大。现将我院20年中发生的12例骨折进行回顾性分析。 临床资料:1981～2001年活产分娩16878例,发生新生儿骨折12例,发生率为0.7％。骨折部位:锁骨骨折6例,肱骨骨折4例,股骨骨折2例。其中锁骨骨折并臂丛神经损伤1例;肱骨骨折并桡神经损伤2例。胎龄及胎方位:12例中38～48周8例,41～42周4例。头位10例,臀足位2例。新生儿体重:3000～3500g2例,3600～3800g2例,4000～4500g8例。分娩方式:头位难产助产10例,臂位助产1例,臂位足先露剖宫 Obstetric injury is a serious complication of dystocia, a great harm to the newborn. Now 12 years in our hospital occurred in 12 cases of fractures were retrospectively analyzed. Clinical data: From 1981 to 2001, 16878 live births were delivered. There were 12 newborns fractures, the incidence rate was 0.7%. Fracture site: clavicle fracture in 6 cases, humeral fracture in 4 cases, 2 cases of femoral fracture. One clavicle fracture and brachial plexus injury in 1 case; humeral fracture and radial nerve injury in 2 cases. Gestational age and fetal position: 12 cases of 38 to 48 weeks in 8 cases, 41 to 42 weeks in 4 cases. Head position in 10 cases, 2 cases of hip foot. Neonatal weight: 3000 ~ 3500g2 cases, 3600 ~ 3800g2 cases, 4000 ~ 4500g8 cases. Mode of delivery: head dystocia midwifery in 10 cases, 1 case of midwifery, arm foot full of cesarean section