Document Detail

Skull fracture caused by vacuum extraction.
MedLine Citation:
PMID:  8841247     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The vacuum extractor is being increasingly advocated as the instrument of first choice for assisted vaginal delivery. It is widely believed that the vacuum cup will dislodge before causing serious fetal trauma. CASE: Rotational delivery of a term infant was effected using a vacuum extractor. A 6-cm Malmström metal cup with a paramedian application was in place for 12 minutes. The vacuum pressure developed was 0.8 kg/cm2. Four traction efforts with contractions were required to deliver the fetal head. A neonatal skull x-ray the following day showed a comminuted parietal bone fracture at the vacuum cup application site. Management was conservative, and the infant's neurologic behavior remained normal. CONCLUSION: The vacuum extractor exerts considerable traction force. Fetal skull fracture can result, and its true incidence may be higher than expected, considering that few neonates with normal neurologic behavior undergo skull x-ray.
K Hickey; P McKenna
Related Documents :
2251617 - Neonatal allo-immune thrombocytopenia. a case report and review of obstetric management.
24592517 - Breastfeeding experiences of aboriginal and torres strait islander mothers in an urban ...
7848227 - Value of cardiotocography in women with antepartum haemorrhage--is it too late for caes...
14766447 - An audit on trends of vaginal delivery after one previous caesarean section.
8598547 - Acute respiratory infections prevent improvement of vitamin a status in young infants s...
1588357 - Height, infant-feeding practices and cardiovascular functioning among 3 or 4 year old c...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  88     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-11-08     Completed Date:  1996-11-08     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  671-3     Citation Subset:  AIM; IM    
Rotunda Hospital, Dublin, Ireland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Birth Injuries* / radiography
Fractures, Comminuted / etiology*,  radiography
Infant, Newborn
Parietal Bone / injuries*,  radiography
Skull Fractures / etiology*,  radiography
Vacuum Extraction, Obstetrical / adverse effects*
Comment In:
Obstet Gynecol. 1997 Feb;89(2):319   [PMID:  9015043 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Evaluation of fetal and uterine hemodynamics during maternal cardiopulmonary bypass.
Next Document:  Isolated hypoplastic left heart syndrome in three siblings.