Differential Diagnosis for Newborn Complications Following Forceps-Assisted Delivery
- Single Most Likely Diagnosis
- Facial nerve palsy: This condition is a common complication of forceps-assisted delivery due to the pressure exerted on the facial nerve during the procedure. The use of forceps can cause temporary or, in rare cases, permanent damage to the facial nerve, leading to facial asymmetry or weakness.
- Other Likely Diagnoses
- Cervical plexus injury: Although less common than facial nerve palsy, injury to the cervical plexus can occur during forceps-assisted delivery, especially if excessive force is applied. This can result in neurological deficits affecting the arm or shoulder.
- Acquired torticollis: Forceps-assisted delivery can also lead to acquired torticollis, a condition characterized by a twisted neck due to muscle strain or injury during birth. This condition can cause the head to be tilted to one side.
- Do Not Miss Diagnoses
- Epidural hematoma: Although rare, an epidural hematoma is a serious condition that can occur due to trauma during forceps-assisted delivery. It requires immediate medical attention to prevent severe neurological damage or death.
- Cerebral palsy: While the direct causation link between forceps-assisted delivery and cerebral palsy is complex and often multifactorial, any birth injury or complication increases the risk. Thus, it's crucial to monitor for signs of cerebral palsy in the long term.
- Rare Diagnoses
- Other rare complications can include fractures (e.g., clavicle or skull fractures) and brachial plexus injuries, though these are not listed among the provided options. The focus remains on the conditions directly mentioned in the query.