NEONATAL INTRACEREBELLAR HEMORRHAGE AFTER FORCEPS DELIVERY - REPORT OF A CASE WITHOUT NEUROLOGIC DAMAGE

BACKGROUND: Neonatal intracerebellar bleeds are very rare and often se en in association with forceps or vaginal breech deliveries. Frequentl y the neonate requires surgical evacuation of the hemorrhage. These ne onates are most often left with significant neurologic sequelae. Medic al management has been reported but with poor outcomes. CASE: A primig ravida with a twin gestation delivered at 37 weeks. The delivery was f acilitated by the use of low forceps for both infants. Twin B was diag nosed with a massive intracerebellar bleed on day 2 of life. She did n ot undergo surgical drainage due to an improvement in her clinical sta tus. Follow-up examinations were completely normal, and the infant was developing normally at 2.5 years of age. CONCLUSION: Low forceps deli veries can be associated with massive neonatal cerebellar hemorrhage, and these bleeds can be managed successfully without surgical drainage .