Caput Newborn (Caput succedaneum )

   
 
Caput succedaneum
Scalp hematomas
Newborn Scalp bleeds
 
    
Caput succedaneum is a neonatal condition involving a serosanguinous, subcutaneous, extraperiosteal fluid collection with poorly defined margins caused by the pressure of the presenting part of the scalp against the dilating cervix (tourniquet effect of the cervix) during delivery.
It involves bleeding below the scalp and above the periosteum.

Symptoms

Caput succedaneum presents as a scalp swelling that extends across the midline and over suture lines and is associated with head molding. The swelling is boggy, diffuse and not limited by suture line. Caput succedaneum does not usually cause complications and usually resolves over the first few days. It can be confused with cephalhematoma.

Management

Management consists of observation only. A complete and fast recovery will normally occur with caput succedaneum. If the baby's scalp contour has changed, a normal contour should be regained.
The baby will often be irritable so may require analgesia for its headache and handling should be kept to a minimum for the first few days.

The swelling and bruising may increase the risk of infant jaundice, which is yellowing of the skin due to excess bilirubin in the blood. According to the Mayo Clinic, this should clear up without treatment within two to three weeks. Sometimes, untreated jaundice can lead to serious health problems, so make sure your child’s doctor addresses your concerns about jaundice.
If your child develops jaundice that doesn’t improve within several weeks, contact your child’s doctor. Blood tests may be necessary to determine the underlying cause of the jaundice.

What Is the Long-Term Outlook?

No treatment is necessary for this condition, and there should be no long-term effects. The swelling should decrease within several days, and the scalp should appear normal within days or weeks.
A large or swollen head is a normal symptom of this condition. Your baby’s doctor will be able to diagnose their condition after delivery and can monitor their condition to make sure there are no lasting effects.

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