However, underestimation of the true intracranial hemorrhages following Vacuum Extraction may also have occurred. In a case series of term infants (n = 913) screened with transfontanellar ultrasound after Vacuum Extraction, the rate of intracranial hemorrhages was reported to be 4.6 times higher (0.87%) than in our study. In that study, most of the patients were reported to exhibit “reassuring clinical status” and only one infant with intracranial hemorrhages was admitted for neonatal intensive care.