with SGH have a history of difficult instrumental delivery using vacuum suction or forceps (64% to 91%) Other predisposing factors include coagulopathies (hemophilia and Christmas disease), vitamin K deficiency, macrosomia, and dystocia FIGURE 96.24 Subgaleal hemorrhage and normal caput, cephalohematoma, and intracranial hemorrhage (Reprinted with permission from Gibbs RS, Karlan BY, Haney AF, et al Danforth’s Obstetrics and Gynecology 10th ed Philadelphia, PA: Lippincott Williams & Wilkins; 2008.)