| Definition: |
Caput succedaneum is a diffuse swelling of the scalp in a newborn caused by pressure from the uterus or vaginal wall during a head-first (vertex) delivery.
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| Alternative Names: |
Caput
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| Causes, incidence, and risk factors: |
A caput succedaneum is caused by the mechanical trauma of the initial portion of scalp pushing through a narrowed cervix. The swelling may be on any portion of the scalp, may cross the midline (as opposed to a cephalhematoma), and may be discolored because of slight bleeding in the area. There may also be molding of the head, which is common in association with a caput succedaneum.
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| Symptoms: |
- soft, puffy swelling of the scalp in a newborn infant
- swelling may or may not have some degree of bruising
- swelling may extend over the midline of the scalp
- is most often seen on the portion of the head which presented first
- may be associated with increased molding of the head
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| Signs and tests: |
Physical examination confirms that the swelling is a caput succedaneum. No testing is necessary.
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| Treatment: |
No treatment is necessary, and it usually heals spontaneously within a few days.
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| Expectations (prognosis): |
Complete recovery can be expected, with the scalp regaining its normal contour.
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| Complications: |
Jaundice can result as the bruise breaks down into bilirubin.
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| Calling your health care provider: |
This condition is usually noticed immediately after delivery of the child, so no call is necessary -- unless you have additional questions.
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| Prevention: |
A caput succedaneum is considered a normal side effect of delivery. No active preventive measures are recommended.
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