Caput Succedaneum

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COLLEGE OF NURSING SCIENCES EKU DELTA STATE.

REPRODUCTIVE HEALTH PRESENTATION BY:

OGBODU GLORY OGHENEFEJIRO


&
OKAFOR IJEOMA TRUST

TOPIC : CAPUT SUCCEDANEUM

SEMINAR SUPERVISOR: MRS ONAKPOYA.

24TH OF JULY, 2023.


Introduction
Caput succedaneum refers to common benign edema
that crosses cranial suture lines and midline that appears
on an infant’s scalp shortly after birth. This swelling is
associated with multiple etiologies related to birth
trauma, including strain to the newborn’s head during
vertex (head down) and vacuum-assisted delivery. It is
important to differentiate caput succedaneum from
other, more concerning, etiologies of fetal head trauma
that require closer monitoring.

Objectives
 Describe the various etiologies of the development
of caput succedaneum.

 Review the risk factors of developing caput


succedaneum.

 Summarize the management for patients with caput


succedaneum.

Caput succedaneum
Caput succedaneum is swelling (edema) that affects a newborn's scalp. It most commonly
occurs from pressure on the head as the baby moves through the birth canal during a
prolonged or difficult vaginal delivery.
This is a type of injury involving swelling of the scalp. The subcutaneous fluids found, below the
scalp build up before or during a childs birth.

Causes
The cause are divided into:

1. Prenatal cause
2. Intranatal Cause

Prenatal Cause
Before. a child is bor Caput succedaneum can result from The. premature rupture of membrane
(PRON No-mally amniotic fluid protect the the fetus from pressure but when it ruptures. then
the foetal mead is exposed to from the pelvic bone and may cause fluid to build up underneath
the scalp

Intranatal Cause
- Caused by a Long delivery where pressure is placed on the infants head

- Babies with higher birth weight

- over due date (Post date babies)

Risk factors
 Insufficient amniotic fluid (oligohydramnios)
 Prolong or difficult delivery
 Use of forceps or vacuum extraction during delivery
 Macrosomia
 C -sections.

Signs and Symptoms


1. soft and puffy swelling on the scalp
2. Possible bruising or color change on scalp swelling area
3. Swelling that may extend to both side of the scalp.
4. Swelling that is most often seen on the Position of the head which presented first

Treatment / Management
 Caput succedaneum cases do not require medical treatment. Infant make full recovery
in couple of days after delivery.
 But in severe cases the specialist may need to drain fluid that has built up below the
scalp to reduce the swelling.

Diagnostic Evaluation
 Prenatal ultrasound (This is done to rule out PROM or oligohydramnios)
 Physical examination of fetal skull after birth

Complication
 Scarring
 Alopecia
 Jaundice
 Systemic infection in rare cases

Deferential Diagnosis
1. Cephalohematoma
2. Subgaleal hemorrhage
3. Subdural hemorrhage
Deterrence and Patient Education
Overall, caput succedaneum is a clinically benign condition. Clinicians involved in neonatal care
may frequently encounter the condition. However, parents and family members of newborns
may find the swelling quite distressing. They should be reassured and provided with education
regarding the condition and favorable short and long-term prognosis. It is important, when
possible, to set expectations and provide patient education during prenatal visits about
maternal and fetal complications associated with delivery.

Conclusion
During prepartum visits, it is important to elicit risk factors for
developing caput succedaneum or any other birth-related
trauma and counsel parents on the possibility of complication
and prognosis. Caput succedaneum is a clinical diagnosis that
typically does not warrant further imaging or laboratory testing.
Both intrapartum and postpartum ultrasound of the scalp will
show an echogenic hemorrhage above the skull. However, an
ultrasound is not required to make a diagnosis of caput
succedaneum. Diagnosis of caput succedaneum is most often
made on a physical exam alone.
References
 https://www.ncbi.nlm.nih.gov/books/NBK574534/#:~:text=Caput
%20succedaneum%20is%20benign%20edema,not%20associated
%20with%20significant%20complications.
 https://www.childbirthinjuries.com/birth-injury/caput-
succedaneum/#:~:text=Prenatal%20Causes,which%20is%20sealed
%20by%20membranes.
 https://my.clevelandclinic.org/health/articles/22230-caput-

succedaneum#:~:text=Caput%20succedaneum%20is%20swelling
%20(edema,underneath%20the%20scalp%2C%20causing
%20swelling.

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