Massive Subaponeurotic Haemorrhage in Infants Born by Vacuum Extraction
Nine out of 232 infants on whom the vacuum extractor was employed developed subaponeurotic haemorrhage and two of these infants died. In a further 78 infants born by vacuum extraction, all of whom received intramuscular vitamin K1, four sustained subaponeurotic haemorrhage and one died. This type of...
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| Veröffentlicht in: | BMJ 1969-09, Vol.3 (5673), p.743-745 |
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| creator | Ahuja, G. L. Willoughby, M. L. N. Kerr, Margaret M. Hutchison, J. H. |
| description | Nine out of 232 infants on whom the vacuum extractor was employed developed subaponeurotic haemorrhage and two of these infants died. In a further 78 infants born by vacuum extraction, all of whom received intramuscular vitamin K1, four sustained subaponeurotic haemorrhage and one died. This type of haemorrhage was not encountered in over 12,000 infants born by other methods. Its relationship to vacuum extraction was found to be significantly more frequent when the thrombotest level was 10% or below of normal adult activity. It is suggested that infants born by vacuum extraction and with a thrombotest level of 10% or below might be protected from subaponeurotic haemorrhage by the transfusion of fresh frozen plasma. |
| doi_str_mv | 10.1136/bmj.3.5673.743 |
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L. ; Willoughby, M. L. N. ; Kerr, Margaret M. ; Hutchison, J. H.</creator><creatorcontrib>Ahuja, G. L. ; Willoughby, M. L. N. ; Kerr, Margaret M. ; Hutchison, J. H.</creatorcontrib><description>Nine out of 232 infants on whom the vacuum extractor was employed developed subaponeurotic haemorrhage and two of these infants died. In a further 78 infants born by vacuum extraction, all of whom received intramuscular vitamin K1, four sustained subaponeurotic haemorrhage and one died. This type of haemorrhage was not encountered in over 12,000 infants born by other methods. Its relationship to vacuum extraction was found to be significantly more frequent when the thrombotest level was 10% or below of normal adult activity. It is suggested that infants born by vacuum extraction and with a thrombotest level of 10% or below might be protected from subaponeurotic haemorrhage by the transfusion of fresh frozen plasma.</description><identifier>ISSN: 0007-1447</identifier><identifier>ISSN: 0959-8138</identifier><identifier>EISSN: 1468-5833</identifier><identifier>DOI: 10.1136/bmj.3.5673.743</identifier><identifier>PMID: 5347179</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>Bleeding ; Blood ; Blood Coagulation Tests ; Blood Transfusion ; Cerebral Hemorrhage - etiology ; Cerebral Hemorrhage - prevention & control ; Edema ; Extraction, Obstetrical - adverse effects ; Female ; Female genital diseases ; Hemorrhage ; Hemorrhagic disease of the newborn ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - etiology ; Infants ; Injections, Intramuscular ; Papers and Originals ; Pregnancy ; Prothrombin time ; Scalp ; Statistics as Topic ; Vitamin K - administration & dosage</subject><ispartof>BMJ, 1969-09, Vol.3 (5673), p.743-745</ispartof><rights>Copyright 1969 British Medical Journal</rights><rights>Copyright BMJ Publishing Group LTD Sep 27, 1969</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b507t-f4a1d535ac741d23da0b4bb627f689c428f1716d49ba5fb17fd8611330a9321f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/20377858$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/20377858$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,728,781,785,804,886,27929,27930,53796,53798,58022,58255</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5347179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahuja, G. L.</creatorcontrib><creatorcontrib>Willoughby, M. L. N.</creatorcontrib><creatorcontrib>Kerr, Margaret M.</creatorcontrib><creatorcontrib>Hutchison, J. H.</creatorcontrib><title>Massive Subaponeurotic Haemorrhage in Infants Born by Vacuum Extraction</title><title>BMJ</title><addtitle>Br Med J</addtitle><description>Nine out of 232 infants on whom the vacuum extractor was employed developed subaponeurotic haemorrhage and two of these infants died. In a further 78 infants born by vacuum extraction, all of whom received intramuscular vitamin K1, four sustained subaponeurotic haemorrhage and one died. This type of haemorrhage was not encountered in over 12,000 infants born by other methods. Its relationship to vacuum extraction was found to be significantly more frequent when the thrombotest level was 10% or below of normal adult activity. It is suggested that infants born by vacuum extraction and with a thrombotest level of 10% or below might be protected from subaponeurotic haemorrhage by the transfusion of fresh frozen plasma.</description><subject>Bleeding</subject><subject>Blood</subject><subject>Blood Coagulation Tests</subject><subject>Blood Transfusion</subject><subject>Cerebral Hemorrhage - etiology</subject><subject>Cerebral Hemorrhage - prevention & control</subject><subject>Edema</subject><subject>Extraction, Obstetrical - adverse effects</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Hemorrhage</subject><subject>Hemorrhagic disease of the newborn</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - etiology</subject><subject>Infants</subject><subject>Injections, Intramuscular</subject><subject>Papers and Originals</subject><subject>Pregnancy</subject><subject>Prothrombin time</subject><subject>Scalp</subject><subject>Statistics as Topic</subject><subject>Vitamin K - administration & dosage</subject><issn>0007-1447</issn><issn>0959-8138</issn><issn>1468-5833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1969</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkc1LHDEAxYO06LJ69SYMFAo9zJhMMknmUqhb6wp-gbrXkMwkmu1OsiYzov99s-yyVi-eQni_vLzHA-AQwQIhTI9VNy9wUVGGC0bwDhghQnlecYy_gBGEkOWIELYHDmKcp2uJGa8p2QW7FSYMsXoEzi5ljPZZZ7eDkkvv9BB8b5tsKnXnQ3iUDzqzLjt3Rro-Zic-uEy9ZjPZDEOXnb70QTa99W4ffDVyEfXB5hyD-z-nd5NpfnF9dj75dZGrCrI-N0SitsKVbBhBbYlbCRVRipbMUF43pOQGMURbUitZGYWYaTlNVTGUNS6RwWPwc-27HFSn20a7lGAhlsF2MrwKL614rzj7KB78s0A1J5SiZPB9YxD806BjLzobG71YSKf9EAVPGSDmJIHfPoBzPwSXygnEGIV1cqsTVaypJvgYgzbbKAiK1UYibSSwWG0k0kbpwdH_Bbb4ZpE3fR57H7ZyCTFjPC07Bvlat7HXL1tdhr8ifcEqcTWbiJPL37c3VzMopon_seZXOT7J9g_wSLLU</recordid><startdate>19690927</startdate><enddate>19690927</enddate><creator>Ahuja, G. 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L.</au><au>Willoughby, M. L. N.</au><au>Kerr, Margaret M.</au><au>Hutchison, J. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Massive Subaponeurotic Haemorrhage in Infants Born by Vacuum Extraction</atitle><jtitle>BMJ</jtitle><addtitle>Br Med J</addtitle><date>1969-09-27</date><risdate>1969</risdate><volume>3</volume><issue>5673</issue><spage>743</spage><epage>745</epage><pages>743-745</pages><issn>0007-1447</issn><issn>0959-8138</issn><eissn>1468-5833</eissn><abstract>Nine out of 232 infants on whom the vacuum extractor was employed developed subaponeurotic haemorrhage and two of these infants died. In a further 78 infants born by vacuum extraction, all of whom received intramuscular vitamin K1, four sustained subaponeurotic haemorrhage and one died. This type of haemorrhage was not encountered in over 12,000 infants born by other methods. Its relationship to vacuum extraction was found to be significantly more frequent when the thrombotest level was 10% or below of normal adult activity. It is suggested that infants born by vacuum extraction and with a thrombotest level of 10% or below might be protected from subaponeurotic haemorrhage by the transfusion of fresh frozen plasma.</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>5347179</pmid><doi>10.1136/bmj.3.5673.743</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bleeding Blood Blood Coagulation Tests Blood Transfusion Cerebral Hemorrhage - etiology Cerebral Hemorrhage - prevention & control Edema Extraction, Obstetrical - adverse effects Female Female genital diseases Hemorrhage Hemorrhagic disease of the newborn Humans Infant, Newborn Infant, Newborn, Diseases - etiology Infants Injections, Intramuscular Papers and Originals Pregnancy Prothrombin time Scalp Statistics as Topic Vitamin K - administration & dosage |
| title | Massive Subaponeurotic Haemorrhage in Infants Born by Vacuum Extraction |
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