Conceivably, any fetal organ or part could be injured with either vaginal or cesarean delivery. Some of these include subcapsular hepatic hematomas that presented as inguinal and scrotal hematoma. In such cases, ecchymoses of the inguinal region are termed StabLer sign, and those of the scrotum are termed Bryant sign (Heyman, 2011; Saroha, 2015). hymic gland traumatic hemorrhage in those with underlying hyperplasia or cyst has been described before, during, and after delivery (EHinger, 2007; Saksenberg, 2001). Inj uries to the sixth cranial nerve with resultant lateral rectus ocular muscle paralysis have also been reported (Galbraith, 1994).
before delivery. One is the amnionic band syndrome caused when a free strip of amnion forms a focal ring around an extremity or digit. Eventually, deformation or amputation may the uterus. he genesis of such bands is debated and discussed in Chapter 6 (p. 116). A similar anomaly is a Limb-reduction deect associated with chorionic villus sampling performed before 9 weeks' gestation (Chap. 14, p. 294).
mechanical factors. Examples of the latter include chronic oli gohydramnios, as well as restricted fetal movement imposed by an abnormally shaped or small uterine cavity or by the presence of additional fetuses. Some mechanical deformations include
Diseases and Injuries of the Term Newborn 631 talipes equinovarus (clubfoot), scoliosis, and hip dislocation (Miller, 1981). Talipes and other positional foot abnormalities are associated with membrane rupture from early amniocentesis between 11 and 13 weeks' gestation (Chap. 14, p. 293).
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