{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T23:59:44Z","timestamp":1778025584060,"version":"3.51.4"},"reference-count":22,"publisher":"Springer Publishing Company","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:title>A<jats:sc>bstract<\/jats:sc><\/jats:title><jats:p>A male infant delivered to a primipara woman following vacuum applications. He was vigorous at birth, with small caput and scalp bruising. His head was enlarging; he became pale with respiratory distress. Subgaleal hemorrhage (SGH) was suspected. His hematocrit was noted to be 26.2 percent prior to transfusion of O, Rh-negative blood (40 mL\/kg). Moderate disseminated intravascular coagulation (DIC) was noted at 12 hours of age. Posttransfusion of fresh frozen plasma (FFP), his condition became stable, and DIC gradually resolved. Head magnetic resonance imaging did not show intracranial hemorrhage. Although one episode of seizures was noted, electroencephalogram was normal.<\/jats:p><jats:p>With the application of obstetric vacuum, we recommend that the neonatal health care professionals frequently evaluate the infant\u2019s condition. In light of developing fluctuant subgaleal fluid associated with pallor, anemia, metabolic acidosis, and respiratory distress, immediate blood transfusion is warranted. In the presence of DIC, transfusion of FFP is beneficial.<\/jats:p>","DOI":"10.1891\/0730-0832.35.1.37","type":"journal-article","created":{"date-parts":[[2016,2,2]],"date-time":"2016-02-02T22:43:57Z","timestamp":1454453037000},"page":"37-41","source":"Crossref","is-referenced-by-count":5,"title":["Early Blood Transfusion and Resolution of Disseminated Intravascular Coagulation Associated with Massive Subgaleal Hemorrhage"],"prefix":"10.1891","volume":"35","author":[{"given":"Houchang","family":"Modanlou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shandee","family":"Hutson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan Thurman","family":"Merritt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2016,1,1]]},"reference":[{"key":"2019091814551269000_35.1.37.1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1053\/sper.2003.50004","article-title":"Controversies in the use of the vacuum extractor","volume":"27","year":"2003","journal-title":"Semin Perinatol"},{"issue":"1","key":"2019091814551269000_35.1.37.2","first-page":"1","article-title":"Births: final data for 2010","volume":"61","year":"2012","journal-title":"Natl Vital Stat Rep"},{"key":"2019091814551269000_35.1.37.3","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1111\/j.1471-0528.1996.tb09825.x","article-title":"Choice of instrumental delivery","volume":"103","year":"1996","journal-title":"Br J Obstet Gynaecol"},{"key":"2019091814551269000_35.1.37.4","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-200111000-00025"},{"issue":"1","key":"2019091814551269000_35.1.37.5","first-page":"1","article-title":"Births: final data for 2013","volume":"64","year":"2015","journal-title":"Natl Vital Stat Rep"},{"issue":"1","key":"2019091814551269000_35.1.37.6","first-page":"4","article-title":"Neonatal subgaleal hemorrhage in a multihospital healthcare system: prevalence, association, and outcomes","volume":"1","year":"2011","journal-title":"e-J Neonatol Res"},{"issue":"2","key":"2019091814551269000_35.1.37.7","first-page":"1","article-title":"Neonatal subgaleal hemorrhage following vacuum extraction delivery","volume":"5","year":"2005","journal-title":"Internet J Pediatr Neonatol"},{"issue":"6","key":"2019091814551269000_35.1.37.8","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1111\/j.1442-200X.2007.02482.x","article-title":"Neonatal subgaleal hemorrhage: clinical presentation, treatment, and predictors of poor prognosis","volume":"49","year":"2007","journal-title":"Pediatr Int"},{"key":"2019091814551269000_35.1.37.9","first-page":"6","article-title":"Subgaleal hemorrhage following vacuum extraction vaginal delivery: a frequently undiagnosed problem","volume":"5","year":"2010","journal-title":"Neo Today"},{"key":"2019091814551269000_35.1.37.10","first-page":"1","article-title":"Risk factors for failed vacuum extraction and associated complications in term infants: a population-based cohort study","volume":"2","year":"2015","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2019091814551269000_35.1.37.11","doi-asserted-by":"crossref","first-page":"5","DOI":"10.3109\/00016345709156821","article-title":"The vacuum extractor: an obstetrical instrument","volume":"36","year":"1957","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"2019091814551269000_35.1.37.12","first-page":"5","article-title":"Vacuum-assisted vaginal delivery","volume":"2","year":"2009","journal-title":"Rev Obstet Gynecol"},{"key":"2019091814551269000_35.1.37.13","doi-asserted-by":"publisher","DOI":"10.1136\/adc.38.199.280"},{"key":"2019091814551269000_35.1.37.14","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.3.5673.743"},{"key":"2019091814551269000_35.1.37.15","unstructured":"U.S. Food and Drug Administration. FDA Public Health Advisory: Need for Caution When Using Vacuum Assisted Delivery Devices. Silver Spring, MD: U.S. Food and Drug Administration; 1998."},{"issue":"1","key":"2019091814551269000_35.1.37.16","first-page":"96","article-title":"Delivery by vacuum extraction. ACOG Committee Opinion Number 208, September 1998","volume":"64","author":"American College of Obstetricians and Gynecologists Committee on Obstetric Practice","year":"1999","journal-title":"Int J Gynaecol Obstet"},{"key":"2019091814551269000_35.1.37.17","unstructured":"American College of Obstetricians and Gynecologists Practice Bulletin. Operative Vaginal Delivery. 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