A systematic review of 10 trials comparing vacuum extraction with forceps delivery found no significant differences in APGAR scores at one and five minutes and few serious injuries in neonates, although the vacuum extractor was associated with an increase in cephalhematoma
and retinal hemorrhage .
HDFN along with twin-to-twin transfusion, high output cardiac failure, congenital infection or sepsis, hereditary spherocytosis, glucose-6-phosphate dehydrogenase deficiency, pyruvate kinase deficiency, a-Thalassemia, extravascular blood loss, cephalhematoma
, hypothyroidism, Dubin-Johnson syndrome, cystic fibrosis, biliary atresia, cholestasis, total parenteral nutrition and antibiotic therapy.
In a similar case report, a cephalhematoma
with a size of 6-8 cm was found in a newborn girl following spontaneous vaginal delivery, PT and aPTT were found to be prolonged in the patient who had no familial history of bleeding and a diagnosis of combined FV and FVIII deficiency was made when the FV and FVIII levels were found to be low (FV: 26%, FVIII: 8.8%) (3).
[7,8] The possible risks to the baby include skin laceration, cephalhematoma
, clavicular, and skull fractures, brachial plexus injury, and facial nerve palsy.
She had no underlying disease except for nonspecific tachypnea and cephalhematoma
. She had experienced recurrent melena for 20 days 2 months earlier, but the hospital at which she was treated was unable to detect any specific abnormalities, and she was managed conservatively.
Complete history of pregnancy and delivery was elicited, birth weight of babies were recorded, complete examination of the babies was carried out regarding extent of jaundice, condition of body, cephalhematoma
In addition, the incidence of neonatal trauma was higher in the group with suboptimal placement (15.9% vs 3.9%; OR, 4.64; 95% CI, 2.25-9.58; P <.0001) and included such effects as Erb's palsy, fracture, retinal hemorrhage, cephalhematoma
, and cerebral hemorrhage.
Two newborns in metformin alone group and 2 in insulin group had birth trauma with clavicle fracture in two neonates and cephalhematoma
associated with vacuum delivery in other 2 neonates; all of them had birth weight of > 4 kg.