{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T22:35:36Z","timestamp":1794263736005,"version":"4.9.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100013238","name":"Faculty of Medicine Siriraj Hospital, Mahidol University","doi-asserted-by":"crossref","award":["[IO] R016533036"],"award-info":[{"award-number":["[IO] R016533036"]}],"id":[{"id":"10.13039\/501100013238","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    To investigate neonatal injuries, morbidities and risk factors related to vaginal deliveries. This retrospective, descriptive study identified 3500 patients who underwent vaginal delivery between 2020 and 2022. Demographic data, neonatal injuries, complications arising from vaginal delivery and pertinent risk factors were documented. Neonatal injuries and morbidities were prevalent in cases of assisted vacuum delivery, gestational diabetes mellitus class A2 (GDMA2) and pre-eclampsia with severe features. Caput succedaneum and petechiae were observed in 291\/3500 cases (8.31%) and 108\/3500 cases (3.09%), respectively. Caput succedaneum was associated with multiparity (adjusted odds ratio [AOR] 0.36, 95% confidence interval [CI] 0.22\u20130.57,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001) and assisted vacuum delivery (AOR 5.18, 95% CI 2.60\u201310.3,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001). Cephalohaematoma was linked to GDMA2 (AOR 11.3, 95% CI 2.96\u201343.2,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001) and assisted vacuum delivery (AOR 16.5, 95% CI 6.71\u201340.5,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001). Scalp lacerations correlated with assisted vacuum and forceps deliveries (AOR 6.94, 95% CI 1.85\u201326.1,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.004; and AOR 10.5, 95% CI 1.08\u2013102.2,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.042, respectively). Neonatal morbidities were associated with preterm delivery (AOR 3.49, 95% CI 1.39\u20138.72,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.008), night-time delivery (AOR 1.32, 95% CI 1.07\u20131.63,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009=\u20090.009) and low birth weight (AOR 7.52, 95% CI 3.79\u201314.9,\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u20090.001). Neonatal injuries and morbidities were common in assisted vacuum delivery, maternal GDMA2, pre-eclampsia with severe features, preterm delivery and low birth weight. Cephalohaematoma and scalp lacerations were prevalent in assisted vaginal deliveries. Most morbidities occurred at night.\n                  <\/jats:p>\n                  <jats:p>Clinical trial registration: Thai Clinical Trials Registry 20220126004.<\/jats:p>","DOI":"10.1038\/s41598-024-62703-x","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T02:01:39Z","timestamp":1716602499000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Neonatal complications and risk factors associated with assisted vaginal delivery"],"prefix":"10.1038","volume":"14","clinical-trial-number":[{"clinical-trial-number":"tctr20220126004","registry":"10.18810\/tctr"}],"author":[{"given":"Saifon","family":"Chawanpaiboon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitaya","family":"Titapant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julaporn","family":"Pooliam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,25]]},"reference":[{"issue":"3","key":"62703_CR1","first-page":"336","volume":"78","author":"DA Patterson","year":"2008","unstructured":"Patterson, D. A., Winslow, M. & Matus, C. D. Spontaneous vaginal delivery. Am. Fam. Phys. 78(3), 336\u2013341 (2008).","journal-title":"Am. Fam. Phys."},{"issue":"3","key":"62703_CR2","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/j.tjog.2020.03.010","volume":"59","author":"T Gunay","year":"2020","unstructured":"Gunay, T., Turgut, A., Demircivi Bor, E. & Hocaoglu, M. Comparison of maternal and fetal complications in pregnant women with breech presentation undergoing spontaneous or induced vaginal delivery, or cesarean delivery. Taiwan J. Obstet. Gynecol. 59(3), 392\u2013397 (2020).","journal-title":"Taiwan J. Obstet. Gynecol."},{"key":"62703_CR3","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.bpobgyn.2018.09.004","volume":"56","author":"V Vannevel","year":"2019","unstructured":"Vannevel, V., Swanepoel, C. & Pattinson, R. C. Global perspectives on operative vaginal deliveries. Best Pract. Res. Clin. Obstet. Gynaecol. 56, 107\u2013113 (2019).","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"issue":"8","key":"62703_CR4","first-page":"1","volume":"67","author":"JA Martin","year":"2018","unstructured":"Martin, J. A., Hamilton, B. E., Osterman, M. J. K., Driscoll, A. K. & Drake, P. Births: Final data for 2017. Natl. Vital Stat. Rep. 67(8), 1\u201350 (2018).","journal-title":"Natl. Vital Stat. Rep."},{"issue":"6","key":"62703_CR5","doi-asserted-by":"publisher","first-page":"526.e1","DOI":"10.1016\/j.ajog.2007.01.024","volume":"196","author":"SL Clark","year":"2007","unstructured":"Clark, S. L., Belfort, M. A., Hankins, G. D., Meyers, J. A. & Houser, F. M. Variation in the rates of operative delivery in the United States. Am. J. Obstet. Gynecol. 196(6), 526.e1-526.e5 (2007).","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"174\u201380","key":"62703_CR6","volume":"238","author":"R Gupta","year":"2021","unstructured":"Gupta, R. & Cabacungan, E. T. Neonatal birth trauma: Analysis of yearly trends, risk factors, and outcomes. J. Pediatr. 238(174\u201380), e3 (2021).","journal-title":"J. Pediatr."},{"issue":"12","key":"62703_CR7","doi-asserted-by":"publisher","first-page":"699","DOI":"10.12968\/hmed.2017.78.12.699","volume":"78","author":"S Mitra","year":"2017","unstructured":"Mitra, S. & Rennie, J. Neonatal jaundice: Aetiology, diagnosis and treatment. Br. J. Hosp. Med. (Lond.) 78(12), 699\u2013704 (2017).","journal-title":"Br. J. Hosp. Med. (Lond.)"},{"issue":"6","key":"62703_CR8","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1111\/j.1525-1470.2006.00304.x","volume":"23","author":"DH Siegel","year":"2006","unstructured":"Siegel, D. H. et al. Erosive pustular dermatosis of the scalp after perinatal scalp injury. Pediatr. Dermatol. 23(6), 533\u2013536 (2006).","journal-title":"Pediatr. Dermatol."},{"issue":"7","key":"62703_CR9","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1001\/archpediatrics.2010.109-a","volume":"164","author":"A Anshelevich","year":"2010","unstructured":"Anshelevich, A., Osterhoudt, K. C., Introcaso, C. E. & Treat, J. R. Picture of the month\u2013quiz case. Halo scalp ring. Arch. Pediatr. Adolesc. Med. 164(7), 673 (2010).","journal-title":"Arch. Pediatr. Adolesc. Med."},{"issue":"1","key":"62703_CR10","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1007\/s00431-005-1754-4","volume":"165","author":"S Rawal","year":"2006","unstructured":"Rawal, S., Modi, N., Lacey, S. & Keane, M. Escherichia coli septicaemia arising as a result of an infected caput succedaneum. Eur. J. Pediatr. 165(1), 66\u201367 (2006).","journal-title":"Eur. J. Pediatr."},{"key":"62703_CR11","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058859","author":"AR Kemper","year":"2022","unstructured":"Kemper, A. R. et al. Clinical practice guideline revision: Management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics https:\/\/doi.org\/10.1542\/peds.2022-058859 (2022).","journal-title":"Pediatrics"},{"issue":"7","key":"62703_CR12","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1016\/j.jogc.2016.04.007","volume":"38","author":"GM Muraca","year":"2016","unstructured":"Muraca, G. M., Sabr, Y., Brant, R., Cundiff, G. W. & Joseph, K. S. Temporal and regional variations in operative vaginal delivery in Canada by pelvic station, 2004\u20132012. J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC 38(7), 627\u201335 (2016).","journal-title":"J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC"},{"key":"62703_CR13","unstructured":"National perinatal data collection. Perinatal data visualisations: method of delivery. Canberra (AU): Australian Institute of Health and Welfare. https:\/\/www.aihw.gov.au\/reports\/mothers-babies\/australias-mothers-babies-data-visualisations\/contents\/labour-and-birth\/method-of-birth (Accessed 3 October 2020) (2021)."},{"issue":"9","key":"62703_CR14","doi-asserted-by":"publisher","first-page":"e70","DOI":"10.1111\/1471-0528.16092","volume":"127","author":"DJ Murphy","year":"2020","unstructured":"Murphy, D. J., Strachan, B. K. & Bahl, R. Assisted vaginal birth: Green-top Guideline No. 26. BJOG Int. J. Obstet. Gynaecol. 127(9), e70\u2013e112 (2020).","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"62703_CR15","unstructured":"Instrumental vaginal birth. Victoria (AU): Royal Australian and New Zealand College of Obstetrician and Gynaecologists (RANZCOG). https:\/\/ranzcog.edu.au\/statements-guidelines\/obstetrics\/instrumental-vaginal-birth-(c-obs-16) (Accessed 3 October 2020) (2020)."},{"issue":"6","key":"62703_CR16","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1016\/j.jogc.2018.10.020","volume":"41","author":"S Hobson","year":"2019","unstructured":"Hobson, S., Cassell, K., Windrim, R. & Cargill, Y. No. 381-assisted vaginal birth. J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC 41(6), 870\u201382 (2019).","journal-title":"J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC"},{"issue":"4","key":"62703_CR17","doi-asserted-by":"publisher","first-page":"370","DOI":"10.3109\/01443611003628411","volume":"30","author":"JA Loudon","year":"2010","unstructured":"Loudon, J. A., Groom, K. M., Hinkson, L., Harrington, D. & Paterson-Brown, S. Changing trends in operative delivery performed at full dilatation over a 10-year period. J. Obstet. Gynaecol. J. Inst. Obstet. Gynaecol. 30(4), 370\u2013375 (2010).","journal-title":"J. Obstet. Gynaecol. J. Inst. Obstet. Gynaecol."},{"issue":"9","key":"62703_CR18","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1111\/1471-0528.14553","volume":"124","author":"AA Merriam","year":"2017","unstructured":"Merriam, A. A. et al. Trends in operative vaginal delivery, 2005\u20132013: A population-based study. BJOG Int. J. Obstet. Gynaecol. 124(9), 1365\u20131372 (2017).","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"issue":"4","key":"62703_CR19","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1016\/j.jogc.2019.12.009","volume":"42","author":"JO Daly","year":"2020","unstructured":"Daly, J. O., de Leeuw, J. W., Harvey, M. A., Freeman, R. & Sultan, A. Regarding SOGC guideline No. 381-assisted vaginal birth. J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC 42(4), 405\u20136 (2020).","journal-title":"J. Obstet. Gynaecol. Can. JOGC J. Obstet. Gynecol. Can. JOGC"},{"issue":"12","key":"62703_CR20","doi-asserted-by":"publisher","first-page":"1581","DOI":"10.1111\/1471-0528.16422","volume":"127","author":"HP Dietz","year":"2020","unstructured":"Dietz, H. P. & Esegbona, G. Re: Green-top guideline 26 \u201cassisted vaginal birth\u201d. BJOG Int. J. Obstet. Gynaecol. 127(12), 1581 (2020).","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"issue":"10","key":"62703_CR21","doi-asserted-by":"publisher","first-page":"1297","DOI":"10.1111\/1471-0528.16338","volume":"127","author":"PM Hull","year":"2020","unstructured":"Hull, P. M., Thomas, K., Skinner, E., Dawes, A. & Christensen, P. Re: Assisted vaginal birth: Green-top guideline no. 26: Montgomery is missing from RCOG\u2019s assisted vaginal birth guideline. BJOG Int. J. Obstet. Gynaecol. 127(10), 1297\u20138 (2020).","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"issue":"8","key":"62703_CR22","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1038\/sj.jp.7210594","volume":"21","author":"MH Beall","year":"2001","unstructured":"Beall, M. H. & Ross, M. G. Clavicle fracture in labor: Risk factors and associated morbidities. J. Perinatol. 21(8), 513\u2013515 (2001).","journal-title":"J. Perinatol."},{"issue":"1","key":"62703_CR23","first-page":"115","volume":"100","author":"MH Lam","year":"2002","unstructured":"Lam, M. H., Wong, G. Y. & Lao, T. T. Reappraisal of neonatal clavicular fracture: Relationship between infant size and neonatal morbidity. Obstet. Gynecol. 100(1), 115\u2013119 (2002).","journal-title":"Obstet. Gynecol."},{"issue":"1","key":"62703_CR24","first-page":"11","volume":"69","author":"DT Alfonso","year":"2011","unstructured":"Alfonso, D. T. Causes of neonatal brachial plexus palsy. Bull. NYU Hosp. Jt. Dis. 69(1), 11\u201316 (2011).","journal-title":"Bull. NYU Hosp. Jt. Dis."},{"issue":"11","key":"62703_CR25","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1055\/s-0037-1604414","volume":"34","author":"T Kawakita","year":"2017","unstructured":"Kawakita, T. et al. Increased neonatal respiratory morbidity associated with gestational and pregestational diabetes: A retrospective study. Am. J. Perinatol. 34(11), 1160\u20131168 (2017).","journal-title":"Am. J. Perinatol."},{"issue":"11","key":"62703_CR26","volume":"11","author":"S Chand","year":"2019","unstructured":"Chand, S. et al. Frequency of early morbidities in low birth weight neonates at the Aga Khan University Hospital, Karachi. Cureus 11(11), e6061 (2019).","journal-title":"Cureus"},{"issue":"5","key":"62703_CR27","doi-asserted-by":"publisher","first-page":"1372","DOI":"10.1067\/mob.2003.302","volume":"188","author":"SL Boulet","year":"2003","unstructured":"Boulet, S. L., Alexander, G. R., Salihu, H. M. & Pass, M. Macrosomic births in the United States: Determinants, outcomes, and proposed grades of risk. Am. J. Obstet. Gynecol. 188(5), 1372\u20131378 (2003).","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"2","key":"62703_CR28","doi-asserted-by":"publisher","first-page":"136","DOI":"10.1038\/sj.jp.7210877","volume":"23","author":"AH Nassar","year":"2003","unstructured":"Nassar, A. H. et al. Fetal macrosomia (> or =4500 g): Perinatal outcome of 231 cases according to the mode of delivery. J. Perinatol. 23(2), 136\u2013141 (2003).","journal-title":"J. Perinatol."},{"issue":"1","key":"62703_CR29","doi-asserted-by":"publisher","first-page":"8508","DOI":"10.1038\/s41598-020-65022-z","volume":"10","author":"RT Souza","year":"2020","unstructured":"Souza, R. T. et al. Perinatal outcomes from preterm and early term births in a multicenter cohort of low risk nulliparous women. Sci. Rep. 10(1), 8508 (2020).","journal-title":"Sci. Rep."},{"issue":"2","key":"62703_CR30","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1097\/01.AOG.0000107291.46159.00","volume":"103","author":"MI Cedergren","year":"2004","unstructured":"Cedergren, M. I. Maternal morbid obesity and the risk of adverse pregnancy outcome. Obstet. Gynecol. 103(2), 219\u2013224 (2004).","journal-title":"Obstet. Gynecol."},{"issue":"5","key":"62703_CR31","doi-asserted-by":"publisher","first-page":"705.e1","DOI":"10.1016\/j.ajog.2015.07.018","volume":"213","author":"A Lyndon","year":"2015","unstructured":"Lyndon, A. et al. Effect of time of birth on maternal morbidity during childbirth hospitalization in California. Am. J. Obstet. Gynecol. 213(5), 705.e1-705.e11 (2015).","journal-title":"Am. J. Obstet. Gynecol."},{"issue":"12","key":"62703_CR32","doi-asserted-by":"publisher","first-page":"2529","DOI":"10.3109\/14767058.2012.710280","volume":"25","author":"A Lyndon","year":"2012","unstructured":"Lyndon, A., Lee, H. C., Gilbert, W. M. & Gould, J. B. Maternal morbidity during childbirth hospitalization in California. J. Maternal Fetal Neonatal Med. 25(12), 2529\u20132535 (2012).","journal-title":"J. Maternal Fetal Neonatal Med."},{"issue":"7","key":"62703_CR33","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1111\/1471-0528.15000","volume":"125","author":"P Reif","year":"2018","unstructured":"Reif, P. et al. Do time of birth, unit volume, and staff seniority affect neonatal outcome in deliveries at\u2265 34+ 0 weeks of gestation?. BJOG Int. J. Obstet. Gynaecol. 125(7), 884\u2013891 (2018).","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"issue":"1","key":"62703_CR34","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1097\/AOG.0000000000003033","volume":"133","author":"LM Yee","year":"2019","unstructured":"Yee, L. M. et al. Daytime compared with nighttime differences in management and outcomes of postpartum hemorrhage. Obstet. Gynecol. 133(1), 155\u2013162 (2019).","journal-title":"Obstet. Gynecol."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-62703-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-62703-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-62703-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T02:04:16Z","timestamp":1716602656000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-62703-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,25]]},"references-count":34,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["62703"],"URL":"https:\/\/doi.org\/10.1038\/s41598-024-62703-x","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,25]]},"assertion":[{"value":"25 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Every author has completed the Form for Uniform Disclosure of Potential Conflicts of Interest, as provided by the International Committee of Medical Journal Editors. None of the authors have any conflicts of interest to declare. The procedures involved in this retrospective chart review adhere to the ethical standards of the institutional research committee (Si 060\/2020) and align with the Declaration of Helsinki of 1964, its subsequent amendments, or other comparable ethical guidelines.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"11960"}}