Neonatal assessment should include breathing rate, capillary supply, pulse, pale white, and circulation. Before the scalp begins to swell, signs of bleeding may occur before scalp edema, bleeding may be better treated than treatment prolongation (Modanlou, 2010). Conclusion Monitoring of head circumference after vacuum assisted labor is an important part of the detection of intrauterine bleeding. At the time of performing the neonatal evaluation and the ordered head measurements of the infant's blood circulation due to capillary filling and pulsation
Vacuum extractors are more commonly used. The vacuum cleaner is a small cup placed on the baby's head. Pressure on the suction cup can cause bleeding of the type called subgenital bleeding. This happens when the vacuum breaks the vein and the veins flow into the space between the scalp and the skull. This can lead to serious oxygen deficiency. If bleeding is not properly handled, almost half of the baby's blood volume may eventually enter the lower abdomen. Violent contraction from Pitocin and Cytotec. Trauma at birth can also occur with cumulative effects of long-term contraction and indentation In the case of tight babies, the baby's head repeatedly hits the mother's pelvis. This increases the risk of baby cerebral hemorrhage and bleeding.
Submarine bleeding. This occurs when the vein ruptures and flows into the space between the scalp and the skull. This is life-threatening for the baby, which can lead to severe hypoxia. If bleeding is not properly managed, about 50% of the baby's blood volume may eventually enter the lower abdomen. Vacuum extraction labor is at a high risk of experiencing this kind of bleeding in infants. Studies have shown that infants can give birth with caesarean delivery rather than vaginal delivery, the possibility of traumatic labor or trauma being lowered. Doctors need to conduct a thorough medical history and physical examination of their mothers, carefully monitor and evaluate pregnant babies and understand the risks that can lead to high risk of childbirth and childbirth. Attempting to deliver from the vagina is very dangerous when there are certain dangerous conditions such as CPD, abnormal results, stiff shoulders and so on. Caesarean section is necessary in many cases