P54: Other neonatal haemorrhages
P54.5: Neonatal cutaneous haemorrhage
The child is subjected to great pressure during a vaginal birth. This pressure is necessary for the child to be born through the pelvis and the vagina. The pressure, plus the narrow birth canal, can injure or pinch the skin. Small, bloody spots can then occur in the skin, for example.
When there are difficulties during the birth, certain manual interventions may be needed. A forceps or vacuum cup is sometimes also used. The manual interventions or tools may cause an injury to, or bleeding in, the child’s skin. These types of manual interventions may also be used if the child is in an unusual position. The breech position, for example, is one such unusual position. The breech position is when the child is not lying with its head towards the bottom. The child is lying with its head towards the top. Below it then are other body parts such as its bottom, feet and knees.
A disorder in the child's blood clotting system can also cause or worsen bleeding in the skin. Some medications administered to the mother, for example, can cause a disorder in the child's blood clotting system.
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