Kefalhematoma

Kefalhematoma - a subperiosteal accumulation of blood in various parts of the cranial vault. The emergence of them contribute to prolonged labor, as well as hypoxia. Most often, the hematoma is localized in the parietal and parietal-occipital areas from one or two sides. Hematomas can be small or reach significant sizes (volume up to 30 ml or more). They tend to increase in the first hours and 2-3 days after birth.

With the passage of time, the bundle of hematoma occurs with the formation of clots, which are subsequently organized. When deposits of calcium salts are deposited in them, ossification of the hematoma develops, which causes deformation of the skull. The ossified part of the hematoma presses on the inner plate of the parietal bone, causing its atrophy. The liquid part of the hematoma, as a rule, resolves. With resorption of large hematomas, the child's condition may worsen. In this case, due to the lack of conjugation ability of hepatocytes in newborns, the amount of bilirubin in the blood can increase, which causes jaundice, and signs of intoxication appear. With large hematomas, anemia can develop.

Small hematomas usually resolve themselves and do not need special treatment. With large hematomas, surgical treatment is indicated: on the 8th-10th day, it is opened and the contents removed.

The outlook is usually favorable.