This pilot study's aim was to determine, using magnetic resonance imaging (
MRI), if and to what extent asymptomatic intracranial hemorrhage occurs in
normal term neonates after uncomplicated vaginal deliveries. Eight normal,
term, vaginally delivered infants and three cesarean-section deliveries use
d as controls underwent: cranial MRI. No sedation was administered. Small s
ubdural hematomas of the fair cerebri or tentorium cerebelli were found in
half of those with an uneventful vaginal delivery. Pediatric follow-up, on
average 3.9 years after the MRI study was performed, demonstrated normal gr
owth and development. It appears that more data is needed to confirm the ob
servation that the intracranial hemorrhages described should not be conside
red the etiology for neurologic abnormalities present in symptomatic neonat
es.