Dr Jack wrote, "but the first sign of trouble in the
late onset disease is an intracranial hemorrhage.  I don't believe
there are easily seen signs of impending trouble.  And what if the
signs occur at 4 a.m. Sunday morning?".

Quite!  A bit tricky!  The only case I have ever personally known of was
*not* dramatic - one of a set of twins, a little extra bleeding at the
umbilicus, needed extra Vit K at about 2 weeks I seem to recall.  The babies
were born at 36 weeks, quite small, not breastfeeding well in the beginning,
quite jaundiced. They had a placenta each in utero, but as they got bigger
they became more and more "identical" so it's strange that only one was
affected.

Pamela Morrison IBCLC, Zimbabwe