Forceps Delivery
Figure 1.44. Abrasion of the nose ("sheet burns") in an infant with hyperactivity due to drug withdrawal. At the present time hyperactivity is most commonly seen with drug withdrawal, but may occur in infants experiencing pain, congenital hyperthyroidism, etc. The abrasions and erythema generally develop over prominent body parts such as the nose, ears, cheeks, elbows, and knees.
Figure 1.45. "Sheet burn" of the cheeks in a hyperactive infant who was lying in a pool of regurgitated gastric contents. A similar appearance could occur with hyperactivity in an infant with drug withdrawal alone.
Figure 1.46. Abrasions of the knees occurring in an infant with drug withdrawal. This type of lesion, which occurs as a result of repeated hip flexion in a hyperactive infant, is very common.
Figure 1.47. This infant presented at birth with an abraded area in the neck. The cord was around the neck three times and this was thought to be the etiology of the abrasion.
Figure 1.48. The abrasions of the head and face in this normal infant occurred with forceps delivery. There was rapid healing.
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