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The abdominal wall of a baby has thinner musculature compared to an adult, so less protection to the underlying structures is present. The entire birthing process can be very traumatic to a baby, especially if complications arise or if it is a difficult birth, which can open up the risk for abdominal injuries. Although babies have more flexible ribs and they are less likely to fracture because of this, they also offer less protection to the upper abdominal structures. Upper abdominal injuries can result in the spleen and liver being affected.
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