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Updated: Jun 21, 2026

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[Cranial lesions due to forceps delivery].

F Villarejo1, J M Belinchón, F Carceller

  • 1Servicios de Neurocirugía del Hospital Niño Jesús y Hospital La Paz. Madrid. España.

Neurocirugia (Asturias, Spain)
|July 4, 2009
PubMed
Summary

Forceps deliveries can cause serious newborn cranial injuries like fractures and hematomas. Surgical intervention is necessary, highlighting the importance of careful forceps use during difficult births to prevent neonatal trauma.

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Area of Science:

  • Obstetrics and Gynecology
  • Pediatric Surgery
  • Neonatal Care

Background:

  • Instrumental deliveries, including forceps and vacuum extraction, are associated with an increased risk of perinatal craniofacial injuries.
  • Cesarean sections are increasingly performed to mitigate these risks.

Observation:

  • This report details 3 cases of cranial lesions in newborns resulting from forceps deliveries.
  • Two cases presented with depressed skull fractures, and one involved a depressed fracture with an epidural hematoma.

Findings:

  • Diagnosis of these neonatal cranial lesions relies on clinical examination and advanced radiological imaging, such as CT scans or MRI.
  • Surgical treatment is essential, involving the elevation of depressed fractures and evacuation of associated hematomas.

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Implications:

  • Proper and judicious use of obstetric forceps is crucial for preventing birth trauma and severe cranial injuries in neonates.
  • Emphasis on careful technique during difficult deliveries can significantly reduce the incidence of forceps-related neonatal complications.