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Learning from errors
Long-term infant subcutaneous retention of a fragment of fetal scalp electrode following caesarean section
  1. Britta Frederiksen-Møller1,
  2. Ronald F Lamont1,2,
  3. Jan Stener Jørgensen1,3
  1. 1Department of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark
  2. 2Perinatology Research Branch NICHD/NIH/DHHS, Detroit, Michigan, USA
  3. 3Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
  1. Correspondence to Dr Jan Stener Jørgensen, jan.stener.joergensen{at}ouh.regionsyddanmark.dk

Summary

The authors present the case of an uncommon yet potentially fatal complication after the use of a scalp electrode for intrapartum fetal heart rate monitoring. A 25-year-old nulliparous woman in spontaneous term labour had a fetal scalp electrode applied and subsequently required an emergency cesarean section. After discharge home, the mother noticed a swelling on her baby’s head, where the scalp electrode had been attached. Healthcare providers neglected the mother’s repeated concerns about the nature of the swelling. Seven months later, a metal spiral was expelled from the baby’s head which appeared to be a broken part of the scalp electrode. The remaining metal was removed with no further signs or complications. We are aware of only a few similar cases which have been reported in the published literature.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.