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ORIGINAL ARTICLE
Year : 1987  |  Volume : 35  |  Issue : 3  |  Page : 117-120

Retinal haemorrhages in vacuum extraction deliveries


Lecturer in Ophthalmology, Faculty of Medicine, Cairo University, Egypt

Correspondence Address:
Mostafa M Bahgat
Lecturer in Ophthalmology, Faculty of Medicine, Cairo University
Egypt
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Source of Support: None, Conflict of Interest: None


PMID: 3507403

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Two hundred and thirty eight newly born infants were subjected to fundus examination in the first 5 hours of labour then daily till discharge from the hospital then weekly till complete absorption of retinal haemorrhages The 238 infants were 23 delivered by caesarean section, 90 with spontaneous vaginal delivery,45 babies (over3.5 kgm) delivered vaginallyand80 delivered by vacuum extraction. It was found that 37.39% of the newborns had retinal haemorrhages. The incidence, type and severity of retinal haemorrhages were related to the extent of obstetric trauma during birth. They were least with caesarean section. (4.35%), more in babies with spontaneous vaginal delivery (20%), more higher in infants over 3.5 kgm birth weight (33.33%) and maximum in vacuum extraction deliveries (68.75%). A good correlation was made between the site and duration of cup application, level and rate of increase of negative pressure, the presence and size of cephalhematoma and the incidence and severity of retinal haemorrhages A good choice of cases as well as good control of the technique of vacuum extraction will minimize the incidence and severity of retinal haemorrhages in the new born.


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