Concepedia

Abstract

in vertex presentation (rate ratio was 1 1 for spontaneous, low forceps, and mid-forceps deliveries, but 0 9 for caesarean sections and 0 8 for breech deliveries). CommentIt is recognised that demonstrable trauma associated with difficult operative vaginal delivery, resulting in bruising, leads to neonatal jaundice.When such clinically apparent cases were excluded by Campbell et al,> however, they still found more instrumental pro- cedures in the jaundiced group.We would suggest that operative instrumental delivery may cause focal haemorrhages that are not readily detectable in the infant, but may nevertheless subsequently be manifested by the appearance of jaundice.