CASE REPORT: Ischaemic gangrene of the scalp in the neonate: a complication of obstructed labour

Kulshrestha, Sanjay; Kulshrestha, Meeta; Sarkar, B. R.; Chandra, Mukul; Singh, Pradeep Kumar; Agarwal, Nawal; Kishore, Renu

doi:10.1111/j.1471-0528.2005.00611.x

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2007

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Cited by 4 publications

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“…Intrauterine pressure during the second stage of labor may reach 80 to 100 mm Hg, 7 and the effects of this pressure is the proposed mechanism for ischemic gangrene of the scalp in newborns. 7,8 The distinct margins of our patient’s scalp necrosis and the acute onset of the black discoloration following a period of edema and/or erythema are consistent with the previously reported cases. The development of the maternal antenatal decubitus ulcer in our case reflects uniquely increased pelvic pressures during induction.…”

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confidence: 99%