Caput succedaneum

Definition of Caput succedaneum:

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.

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.

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
  • Most often seen on the portion of the head which presented first
  • May be associated with increased molding of the head

Signs and tests:

Physical examination confirms that the swelling is a caput succedaneum. No testing is necessary.

Treatment:

No treatment is necessary, and it usually heals spontaneously within a few days.

Expectations (prognosis):

Complete recovery can be expected, with the scalp regaining its normal contour.

Complications:

Jaundice can result as the bruise breaks down into bilirubin.

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.

Prevention:

A caput succedaneum is more likely to form during a prolonged or difficult delivery. This is especially true after the membranes have ruptured, thus removing the protective cushion of the amniotic sac. Vacuum extraction can also increase the chances of a caput succedaneum.

However, a caput succedaneum is sometimes identified by prenatal ultrasound even before labor or delivery begins. It has been found as early as 31 weeks of gestation. More often than not, this is associated with either premature rupture of the membranes or too little amniotic fluid (oligohydramnios). All other things being equal, the longer the membranes are intact, the less likely a caput is to form.

Nevertheless, a caput succedaneum can form before or during birth even in the absence of any identifiable risk factor. Good prenatal care and management of labor and delivery can reduce the chances of this minor problem, but the formation of a caput succedaneum is often unpredictable and unavoidable.

  • Reviewed last on: 5/1/2007
  • Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by Alan Greene, M.D., F.A.A.P., Department of Pediatrics, Stanford School of Medicine; Lucile Packard Children’s Hospital; Chief Medical Officer, A.D.A.M., Inc.

References

Stoll, BJ, Kliegman, RM. Nervous System Disorders. In: Behrman, RE., Kliegman, RM, Jenson, HB, eds. Nelson Textbook of Pediatrics. 17th ed., Philadelphia, PA: Saunders; 2004:562

source from http://www.umm.edu/ency/article/001587all.htm

Terjemah bebas

Caput succedaneum

definisi caput succedaneum:

caput succedaneum memencarkan bengkak kulit dan rambut kepala di disebabkan oleh tekanan dari rahim baru lahir atau vaginal dinding selama head-first (pengiriman puncak).

menyebabkan, berjangkit, dan faktor resiko:

caput succedaneum dilantaran oleh mekanis trauma bagian awal kulit dan rambut kepala meneruskan membatasi tengkuk. bengkak mungkin di beberapa bagian kulit dan rambut kepala, mungkin arungi midline sebagai lawan cephalhematoma, dan mungkin menycolored karena pendarahan tipis di daerah. di sana mungkin juga membentuk kepala, yang biasa bersama-sama caput succedaneum.

gejala:

” halus, kulit dan rambut kepala di bayi baru lahir

” bengkak mungkin atau mungkin tidak punya derajat dari bruising

” bengkak mungkin memperluas melalui midline kulit dan rambut kepala

” paling sering melihat di bagian kepala yang menyajikan pertama

” mungkin berasosiasi dengan meningkat membentuk kepala

tanda dan percobaan:

ujian fisik menegaskan bahwa bengkak caput succedaneum. tidak ujian perlu.

pengurusan:

tidak pengurusan perlu, dan ini biasanya sembuh secara spontan dalam beberapa hari.

harapan (ramalan):

genapkan pemulihan dapat menyangka, dengan kulit dan rambut kepala mendapat kembali garis bentuk normal nya.

keruwetan:

penyakit kuning dapat hasil memar sebagai memerinci ke bilirubin.

memanggil pelayanan kesehatan kamu provider:

kondisi ini biasanya mencatat segera setelah pengiriman anak, tidak memanggil perlu – kalau kamu punya pertanyaan tambahan.

cegahan:

caput succedaneum banyak mungkin ke bentuk selama berlangsung lama atau pengiriman sulit. ini adalah khususnya benar setelah membran telah memecahkan, jadi memindahkan bantal alas duduk protektif amniotic kantung. keturunan hampa udara dapat juga menambah kesempatan dari caput succedaneum.

akan tetapi, caput succedaneum kadang-kadang mengenali oleh sebelum melahirkan ultrasound bahkan sebelum buruh atau pengiriman mulai. ini telah menemukan sejak dulu 31 minggu kehamilan. banyak sering daripada tidak, ini adalah berasosiasi dengan salah satu perpecahan prematur membran atau terlalu kecil amniotic cair (oligohydramnio. semua yang lain tetap sama, lebih panjang membran utuh, semakin sedikit mungkin caput ke bentuk.

meskipun demikian, caput succedaneum dapat bentuk sebelum atau selama kelahiran bahkan di absen faktor resiko bisa diidentifikasi. sebelum melahirkan baik merawat dan manajemen buruh dan pengiriman dapat mereduksi kesempatan dari persoalan kecil ini, tetapi pembentukan caput succedaneum sering tak dapat diramalkan dan tak terelakkan.

Caput succedaneum

  • Reviewed last on: 5/1/2007
  • Rachel A. Lewis, MD, FAAP, Columbia University Pediatric Faculty Practice, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by Alan Greene, M.D., F.A.A.P., Department of Pediatrics, Stanford School of Medicine; Lucile Packard Children’s Hospital; Chief Medical Officer, A.D.A.M., Inc.

References

Stoll, BJ, Kliegman, RM. Nervous System Disorders. In: Behrman, RE., Kliegman, RM, Jenson, HB, eds. Nelson Textbook of Pediatrics. 17th ed., Philadelphia, PA: Saunders; 2004:562

source from http://www.umm.edu/ency/article/001587all.htm

About these ads

Berikan Balasan

Isikan data di bawah atau klik salah satu ikon untuk log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Logout / Ubah )

Twitter picture

You are commenting using your Twitter account. Logout / Ubah )

Facebook photo

You are commenting using your Facebook account. Logout / Ubah )

Google+ photo

You are commenting using your Google+ account. Logout / Ubah )

Connecting to %s

Ikuti

Get every new post delivered to your Inbox.

Bergabunglah dengan 113 pengikut lainnya.

%d blogger menyukai ini: