Trauma of Muscle ad Skin

Subject: Midwifery III (Theory)

Overview

The sternomastoid muscle is the most usually injured muscle during the birth of the anterior shoulder when the fetus has a vertex presentation or during shoulder rotation when the infant is delivered breech. Torticollis, or a twisted neck, is caused by this damage. Muscle stretching can be accomplished by placing the baby to sleep on the unaffected side and performing muscle stretching activities under the supervision of a physiotherapist. Iatrogenic skin damage is frequently caused by forceps, blades, vacuum extractor cups, scalp electrodes, and scalpels. The healing is flawless, with no traces of the injury remaining. Keep abrasions and lacerations clean and dry.

  • Torticollis (twisted neck)

The sternomastoid muscle is the most usually injured muscle during the birth of the anterior shoulder when the fetus has a vertex presentation or during shoulder rotation when the infant is delivered breech. Torticollis, or a twisted neck, is caused by this damage.

Torticollis develops as a tiny lump on the affected side of the neck over the sternomastoid muscle. The mass, which is made up of blood and fibrous tissue, appears to be painless for the newborn.

Muscle stretching can be accomplished by placing the baby to sleep on the unaffected side and performing muscle stretching activities under the supervision of a physiotherapist.

  • Sternomastoid hematoma

It normally emerges 7-10 days after birth and is located at the junction of the upper and middle thirds of the muscle. It is caused by a rupture of the muscle fibers and blood vessels, which is followed by a hematoma and contraction of the cicatrices.

  • Skin and superficial tissue trauma

Iatrogenic skin damage is frequently caused by forceps, blades, vacuum extractor cups, scalp electrodes, and scalpels. If the scalp is left on the perineum for an extended period of time, it may become edematous and damaged.

The healing is flawless, with no traces of the injury remaining. Keep abrasions and lacerations clean and dry.

Things to remember
  • The sternomastoid muscle is the most usually injured muscle during the birth of the anterior shoulder when the fetus has a vertex presentation or during shoulder rotation when the infant is delivered breech.
  • Torticollis, or a twisted neck, is caused by this damage. Torticollis manifests as a tiny lump on the affected side of the neck over the sternomastoid muscle.
  • The mass, which is made up of blood and fibrous tissue, appears to be painless for the newborn.
  • Muscle stretching can be accomplished by placing the baby to sleep on the unaffected side and performing muscle stretching activities under the supervision of a physiotherapist.
  • Iatrogenic skin damage is frequently caused by forceps, blades, vacuum extractor cups, scalp electrodes, and other instruments.
  • If the scalp is left on the perineum for an extended period of time, it may become edematous and damaged.
  • The healing is flawless, with no traces of the injury remaining. Keep abrasions and lacerations clean and dry.
Questions and Answers

The use of forceps, blades, vacuum extractor cups, scalp electrodes, and scalpels frequently results in iatrogenic skin damage. If the scalp is left on the perineum for a long time, it may become edematous and damaged.

There is no sign of the damage after the perfect recovery. Keep laceration and abrasion clean and dry.

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