Generic problems: cephalohematoma in a newborn.
Of course, any pregnant woman hopes forsuccessful delivery. However, neither she nor the baby should have any problems. Unfortunately, such hopes do not always come true - birth trauma is very common, especially if there were rapid childbirth or childbirth occurred outside a medical facility (for example, on the way to the hospital).
At the end of the gestation period in the last weeksthe child flips the head down, and before the very fights, it comes as close as possible to the birth canal. The head of the child at normal delivery is inserted into the pelvic cleft and with the help of the uterine contractions the body of the child and the head are pushed outwards. The widest part of the child's body is the head, its circumference. Facial bones of the baby, skull bones are very mobile and at birth they are much displaced, and after a couple of hours everything is restored. If the head is out, then releasing the shoulders and the birth of the rest is a matter of a couple of minutes.
Usually a small generic tumor is present in allchildren, but it is almost invisible and lasts from a few hours to a couple of days. Unfortunately, in some cases, the head of the child passes abnormally, due to certain reasons. Then soft tissues are injured, and there is a bruise - a cephalohematoma in the newborn. A cephalohematoma is located between the surface of the bones of the skull (external) and the periosteum, which covers them. Most often, the bruise is localized in the region of the crown, but it can also appear on the back of the head, forehead or temples. According to its size, a newborn can contain from five to one hundred and fifty milliliters of blood, which at that time is still liquid.
The causes of the appearance of cephalohematoma are different:
- mismatch in the size of the fetus to the size of the mother's birth canal;
- a pregnant pregnancy, when the bones of the skull of the baby are no longer so mobile;
- wrong position of the head before delivery;
- intrauterine pathologies of development.
During the advancement of the child's head by birththe skin and the periosteum are displaced, with the tiniest vessels bursting, from which the blood comes out. Usually, the neurologic cephalohematoma does not appear immediately, within a few days after birth it will increase in size. If it is small, then at first it simply can not be noticed, blaming the birth trauma. But if after two days the total swelling has disappeared, and in a certain place the tumor still remains, then the cephalohematoma is diagnosed, the consequences of which may be different. Usually uncomplicated middle-sized cephalohematoma occurs within the first two months. If the cephalohematoma is large, then recovery may be delayed.
Kefalogematoma in newborns has consequencesdifferent. It does not require special treatment only when the positive dynamics are visible immediately. The baby is worth as much as possible to keep in peace, do not swing in the stroller, do not give long and much cry. Also prescribed vitamin therapy.
In other cases, the cephalohematoma in a newborncan give complications: anemia (because a significant part of the blood does not participate in the turnover on the body, accumulating in the head area); jaundice (the appearance of icteric symptoms at the time of passage of the hematoma). If the swelling remains, then it can fester and then surgical intervention is necessary. A surgical cut is made, the purulent contents are removed and a bandage is put on the disinfectant solution, and antibiotics are also indicated.
When the appearance of the cephalohematoma, the young mother does notit is necessary to be upset - in most cases it is not dangerous, and the unusual shape of the baby's head will become ordinary, round, already by two months. During the recovery period, babies are observed in the pediatrician and surgeon.
