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February 1964

Neonatal Bleeding From the Ear

Author Affiliations

M. S. McLellan, MD, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans 12, ;From the Department of Pediatrics, Tulane University School of Medicine, and the Charity Hospital of Louisiana.

Am J Dis Child. 1964;107(2):193-194. doi:10.1001/archpedi.1964.02080060195016

It is our purpose to present a most unusual case—bleeding from the ear at birth. Though flecks of dry blood are seen occasionally in or on the external ear of the newborn infant,1 apparently of maternal origin, we have not seen bleeding such as this previously reported.

Report of Case  Pregnancy.—The mother, a 23-year-old primigravida who had not been followed in our prenatal clinic, entered the hospital with a diagnosis of severe pre-eclampsia. Membranes had been ruptured artificially 12 hours prior to delivery. Presentation was vertex, position left occipito transverse, requiring episiotomy and Keiland forceps rotation to accomplish delivery of a 7½ lb (3.2 kg) male infant. Oxygen and mask resuscitation were successful in establishing respirations, and he was sent to the nursery in "fair" condition.Nursery Examination.—In the nursery, this baby was found to have right facial paresis, absent suck reflex, weak cry, slight bleeding from the