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July 22, 1939

INTRACRANIAL HEMORRHAGE IN THE NEWBORN

Author Affiliations

ATLANTA, GA.

From the Department of Pediatrics, Emory University School of Medicine.

JAMA. 1939;113(4):280-284. doi:10.1001/jama.1939.02800290006003
Abstract

Cerebral hemorrhage in the newborn is unquestionably of common occurrence. The statistics from various clinics differ a great deal, depending on the care and the method of observation. Careful postmortem examination of stillborn babies and infants dying within the first few days of life indicates a very high percentage of lesions of the brain attributable to trauma during delivery. Ford1 concludes that at least one third of all deaths occurring during the first two weeks of life are due to birth injury.

The routine examination of the spinal fluid of a large number of newborn infants studied consecutively reveals the fact that approximately 12 per cent of all infants exhibit blood in the spinal fluid.2 Fortunately, only a small group of these children show clinical evidence of cerebral damage.

The prognosis of intracranial hemorrhage in those infants surviving the initial shock of injury is a problem about which

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