Document Detail


Skull fracture caused by vacuum extraction.
MedLine Citation:
PMID:  8841247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
K Hickey; P McKenna
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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    
Affiliation:
Rotunda Hospital, Dublin, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Injuries* / radiography
Female
Fractures, Comminuted / etiology*,  radiography
Humans
Infant, Newborn
Male
Parietal Bone / injuries*,  radiography
Pregnancy
Skull Fractures / etiology*,  radiography
Vacuum Extraction, Obstetrical / adverse effects*
Comments/Corrections
Comment In:
Obstet Gynecol. 1997 Feb;89(2):319   [PMID:  9015043 ]

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


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