Saturday, 7 April 2012

birth injury


Soft tissue injuries



These include:
  • Caput succedaneum - bruising and oedema of the presenting part extending beyond the margins of the skull bones; resolves in a few days.
  • Cephalhaematoma - haematoma from bleeding below the periosteum, confined within the margins of the skull sutures. It usually involves the parietal bone. The centre of the haematoma feels soft. It resolves over several weeks. It is occasionally accompanied by a linear skull fracture.
  • Chignon - oedema and bruising from Ventouse delivery.
  • Subaponeurotic haemorrhage (very uncommon) - diffuse, boggy swelling of scalp, may be accompanied by serious blood loss leading to hypovolaemic shock.

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