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2004 APR 1 - (NewsRx.com & NewsRx.net) -- U.K. research shows how asymptomatic subdural hematomas (bleeding in the brain) among newborn babies are more common than previously thought, are associated with the mode of delivery during childbirth and are undetectable after a baby is a month old. The latter finding could have implications for the diagnosis of nonaccidental injury among infants older than 1 month of age.
Elspeth Whitby from Sheffield University and Sheffield Teaching Hospitals, U.K., and colleagues prospectively assessed the frequency of subdural hemorrhages in full-term babies who did not have any obvious symptoms of hemorrhage, the natural history of any detected hematomas, and identified any associations such as length of labor and mode of delivery on the risk of cerebral bleeding. Their findings were published in the March 13, 2004, issue of the Lancet.
One hundred eleven babies were studied between March 2001 and November 2002. Forty-nine babies were born by normal vaginal delivery, 25 by cesarean section, 4 with the use of forceps, 13 by the use of suction (ventouse), 18 failed ventouse requiring forceps, 1 failed ventouse leading to cesarean section, and 1 failed forceps leading to caesarean section.
Nine babies had ...
Source: HighBeam Research, Traumatic delivery not likely cause of brain hemorrhage in month-old...