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    Caput succedaneum

    Caput

    Caput succedaneum is swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery.

    Causes

    A caput succedaneum is more likely to form during along or harddelivery. It is more common afterthe membranes have broken. This is because the amniotic sac is no longer providing a cushion for the baby's head. Vacuum extraction done during a difficult birth can also increase the chances of a caput succedaneum.

    A caput succedaneummay be detectedby prenatal ultrasound even before labor or delivery begins. It has been found as early as 31 weeks of pregnancy. Very often, this is due to an early rupture of the membranes or too little amniotic fluid. It is less likely that a caput will form if the membranes stay intact.

    Symptoms

    • Soft, puffy swelling on the scalp in a newborn infant
    • Possible bruising or color change on the scalp swelling
    • Swelling that may extend to both sides of the scalp
    • Swelling that is most often seen on the portion of the head which presented first
    • Increase in molding of the bones of the head

    Exams and Tests

    The doctor will look at the swelling to confirm that it is a caput succedaneum. No other testing is needed.

    Treatment

    No treatment is needed. The problem usually goes away on its own within a few days.

    Outlook (Prognosis)

    Complete recovery can be expected. The scalp will go back to a normal shape.

    Possible Complications

    Complications may include a yellow color to the skin (jaundice).

    When to Contact a Medical Professional

    Most of the time, the problem is noticed right after birth. You do not need to call your doctor unless you have other questions.

    References

    Mangurten HH. Birth Injuries. In: Fanaroff AA, Martin RJ, eds. Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant. 9th ed. Philadelphia, Pa: Mosby Elsevier; 2010.

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    • Caput succedaneum

      illustration

      • Caput succedaneum

        illustration

      Review Date: 5/10/2013

      Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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