title: Development of children with symptomatic intracranial hemorrhage born after vacuum extraction.
abstract: Vacuum extraction significantly reduces perinatal morbidity/mortality. Increased occurrence of intracranial hemorrhage has been associated with vacuum extraction and is multifactorial; a causative effect is not assumed. Long-term developmental outcome data in this specific subpopulation are lacking and may differ from non-vacuum extraction-associated intracranial hemorrhage. Long-term follow-up of children with symptomatic vacuum extraction-associated intracranial hemorrhage was retrospectively analyzed using Bayley Scales of Infant Development. Twenty-five newborns were identified with symptomatic intracranial hemorrhage after vacuum extraction. Motor development was severely impaired in 4 children (16%, Bayley Scale score <55), moderately impaired in 5 children (20%, Bayley Scale score 55-69) and mildly impaired in 2 children (8%, Bayley Scale score 70-84). Mental development was severely impaired in 2 children (8%), moderately impaired in 3 children (12%) and mildly impaired in 5 children (20%). Impaired outcome was associated with parenchymal injury and seems to be a higher reported outcome in non-vacuum extraction-associated intracranial hemorrhage. The high prevalence of impaired development in symptomatic vacuum extraction-associated intracranial hemorrhage necessitates long-term follow-up.
authors: Department of Pediatrics and Neonatal ICU, Máxima Medisch Centrum, Veldhoven, The Netherlands.
authors: Marjolein J C
authors: MJ
authors: Schot
authors: Feico J J
authors: FJ
authors: Halbertsma
authors: Titia
authors: T
authors: Katgert
authors: Levinus A
authors: LA
authors: Bok
mesh_terms: D001720:Birth Injuries / Q000209:etiology*; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007223:Infant; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011597:Psychomotor Performance / Q000502:physiology; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*