Vacuum extraction, bone injury and neonatal subgaleal bleeding

In a population of 27 flemish newborns with subgaleal bleeding encountered within a period of 6 years, we studied the obstetrical, clinical and radiological data. In contrast with controversial findings from the available literature, there is little doubt that difficult, often elective vacuum extrac...

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Bibliographic Details
Published in:European journal of pediatrics 1992-07, Vol.151 (7), p.532-535
Main Authors: GOVAERT, P, VANHAESEBROUCK, P, DE PRAETER, C, MOENS, K, LEROY, J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Birth Injuries - diagnostic imaging
Birth Injuries - etiology
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - etiology
Delivery. Postpartum. Lactation
Disorders
Female
Gynecology. Andrology. Obstetrics
Hemorrhage - diagnostic imaging
Hemorrhage - etiology
Humans
Infant, Newborn
Male
Medical sciences
Scalp - blood supply
Scalp - diagnostic imaging
Skull - diagnostic imaging
Skull - injuries
Skull Fractures - diagnostic imaging
Skull Fractures - etiology
Tomography, X-Ray Computed
Vacuum Extraction, Obstetrical - adverse effects
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Summary:In a population of 27 flemish newborns with subgaleal bleeding encountered within a period of 6 years, we studied the obstetrical, clinical and radiological data. In contrast with controversial findings from the available literature, there is little doubt that difficult, often elective vacuum extraction is the main cause of this neonatal emergency. Disturbances in haemostasis, when documented, were attributed to focal intrahaematoma consumption, except for one boy who presented with haemophilia and neonatal subgaleal bleeding. Conventional X-ray examination continues to be of importance for the documentation of suture diastasis, fissures and fractures. CT scan reveals both the amount of extra-osseous bleeding, the degree of bone displacement and injury as well as the type and extent of associated intracranial damage. Subgaleal haemorrhage rarely hides a growing synchrondrosal rupture.
ISSN:0340-6199
1432-1076
DOI:10.1007/BF01957762