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Recombinant Factor VIIa and Tranexamic Acid in Subgaleal Hemorrhage
Abstract
Sumesh Thomas, Arun Sundaram, Nadira Rashid and MacGregor Steel
Subgaleal hemorrhage (SGH) is a severe condition associated with a 5-14% risk of neonatal death. SGH has been described as a complication of birth by vacuum extraction; however it can occur with any mode of delivery. The spectrum of clinical severity varies from mildly asymptomatic to severe, with hemorrhagic shock, coagulopathy and end organ injury. Early recognition of symptoms, prompt restoration of circulatory volume and control of bleeding could improve outcomes [1].