Vacuum delivery increases the rates of neonatal cephalohematoma compared with forceps deliveryHemorrhages typically resolve without sequelae within four weeks of birth, but cephalohematoma can lead to hyperbilirubinemia. One study showed no differences in vision problems or in child development five years after vacuum or forceps delivery Operative lady partsl delivery is a risk factor for shoulder dystocia, and it appears to be more common with vacuum delivery than with forceps delivery The incidence of shoulder dystocia increases in cases of fetal macrosomia and can also make Intracranial hemorrhage and subgaleal or subaponeurotic hematomas , Signs and Symptoms of Serious Intracranial Injury in a Neonate [TABLE] [TR] [TD=colspan: 1]Intracranial hemorrhage [/TD] [/TR] [TR] [TD=colspan: 1]Apnea [/TD] [/TR] [TR] [TD=colspan: 1]Bradycardia [/TD] [/TR] [TR] [TD=colspan: 1]Bulging fontanel [/TD] [/TR] [TR] [TD=colspan: 1]Convulsions [/TD] [/TR] [TR] [TD=colspan: 1]Irritability [/TD] [/TR] [TR] [TD=colspan: 1]Lethargy [/TD] [/TR] [TR] [TD=colspan: 1]Poor feeding [/TD] [/TR] [TR] [TD=colspan: 1]Subgaleal hematoma [/TD] [/TR] [TR] [TD=colspan: 1]Diffuse head swelling that shifts with repositioning and indents on palpation [/TD] [/TR] [TR] [TD=colspan: 1]Signs of hypovolemic shock (hypotension, pallor, tachycardia, tachypnea) [/TD] [/TR] [TR] [TD=colspan: 1]Swelling not limited by suture lines (unlike cephalohematoma) [/TD] [/TR] [/TABLE] note: Signs or symptoms may not appear until several hours after birth. i hope i help u