Occult large epidural hemorrhage in a newborn infant after in-hospital fall

Sato, Ray

doi:10.3233/npm-181752

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…Although we did not observe any serious injury in the infants, skull fractures either isolated from or associated with parenchymal hematoma, subdural hematoma, or epidural hemorrhage have been reported after the fall of a neonate in the hospital. [2][3][4][5]14,15 As some of these serious intracranial events do not show any clinical symptoms, the management of fallen neonates is challenging. 2,4,14 As some of these serious intracranial events do not show any clinical symptoms, the management of fallen neonates is challenging.…”

Section: Discussionmentioning

confidence: 99%

In-Hospital Newborn Falls and Near Miss Events: A Need to Report

et al. 2023

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Objective This study aimed to evaluate the clinical characteristics of the neonates who fell in the maternity ward and identify the incidence of near miss events during the immediate postpartum period. Study Design The study consisted of two steps. The retrospective part included the evaluation of admissions due to the in-hospital newborn fall for 6 years. The prospective part included the assessment of the near miss events (any probability of falling of the newborn; either cosleeping or an incident with a possible consequence of falling of the newborn) in the postpartum clinic (<72 hours after delivery) for a period of 4 weeks. The details of the events and clinical outcomes were recorded. A questionnaire about fatigue was administered to mothers who experienced near miss event. Results Seventeen in-hospital newborn falls were recorded: 1.8 to 2.4/10,000 live births. The median age of the neonates when the fall occurred was 22 (16–34) postnatal hours. Fourteen events (82%) occurred between 10 p.m. and 6 a.m. All neonates who experienced a fall were discharged without any known adverse outcomes. Twelve mothers (71%) had experienced a near miss event before. In the prospective arm of the study, 67 out of 804 mothers (8.3%) were found to experience a near miss event (44/1,000 days of postpartum hospitalization). Thirty-two events (49%) occurred in the first postpartum day. Fifty-two events (78%) occurred between 10 p.m. and 6 a.m. Fifty-eight mothers (86%) had no companion. Sixty-three percent of the mothers expressed intense fatigue after delivery. Conclusion In-hospital newborn fall may occur in the postpartum period, and near miss events should warn clinicians for a probable fall event. The nighttime shift requires more attention regarding the prevention of both the fall and the near miss events. Immediate postpartum mothers are needed to be observed carefully. Key Points

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Section: Discussionmentioning

confidence: 99%

In-Hospital Newborn Falls and Near Miss Events: A Need to Report

et al. 2023

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“…The EH on CT shows high density, not differentiating from other age groups [22]. However, EH has a rounded and circumscribed shape as a clinical feature, due to the anatomical limitation of the intimate relationship between meninges, periosteum and cranial sutures [24], so blood accumulates in this space due to the dripping of ruptured vessels [21]. Cephalohematoma is frequently found in communicating EH with skull fracture [21], being found in 16% to 75% of cases [8,12,13,22,26,29,44].…”

Section: Diagnosismentioning

confidence: 99%

“…There are reports on the use of transfontanellar ultrasound and magnetic resonance imaging as a means of confirming the diagnosis because they do not expose the patient to radiation [33], since they are sensitive to the adverse effects of ionizing radiation [21].…”

Section: Diagnosismentioning

confidence: 99%

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Epidural hematoma in newborn: literature review

Nascimento

Kalkmann

Santos

et al. 2020

Arch Pediat Neurosurg

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Introduction: Newborn represent a population at high risk for brain damage. Intracranial hemorrhages in newborn are uncommon, and epidural hematoma (EH) is rare. Material and methods: The authors present a literature review about EH in newborn. Results: EH in newborn occurs in only 2% and is frequently associated with the type of delivery. The clinical presentation is asymptomatic or heterogeneous. The diagnosis is made from anamnesis and imaging exams, and the treatment depends on the size of the EH. Conclusion: The knowledge of neurosurgeons, obstetricians and pediatricians about the occurrence of EH in newborn is extremely important. The rapid identification and management of the case is of paramount importance, to reduce neurological sequelae.

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Does every newborn need an imaging study after a fall? Case series and literature review

Beachy

Perveen

2020

The Journal of Maternal-Fetal & Neonatal Medicine

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Occult large epidural hemorrhage in a newborn infant after in-hospital fall

Cited by 4 publications

References 7 publications

In-Hospital Newborn Falls and Near Miss Events: A Need to Report

In-Hospital Newborn Falls and Near Miss Events: A Need to Report

Epidural hematoma in newborn: literature review

Does every newborn need an imaging study after a fall? Case series and literature review

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