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发表评论 Cephalhaematoma due to birth injury (Draft of the clinical recommendations)
- 作者: Ivanov D.O.1, Palchik A.B.1, Fomina M.Y.1, Ponyatishin A.E.1, Minin A.V.1
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隶属关系:
- Saint Petersburg State Pediatric Medical University
- 期: 卷 15, 编号 5 (2024)
- 页面: 127-137
- 栏目: Draft clinical recommendations
- URL: https://journal-vniispk.ru/pediatr/article/view/286938
- DOI: https://doi.org/10.17816/PED155127-137
- ID: 286938
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详细
Cephalhematoma is a limited, hard, tense area of hemorrhage overlying the cranial bones, bounded by its sutures, and is subperiosteal. Risk factors for cephalhematoma formation can be divided into three main groups: maternal, birth, and fetal. Maternal factors include the woman’s age (under 16 and over 35 years), pelvic abnormalities, and chronic maternal diseases. Birth risk factors include the state of the mother’s birth canal, the method of delivery, prolonged and rapid labor, oligohydramnios, and the use of obstetric aids. Fetal risk factors include prematurity, postmaturity, breech or breech presentation, developmental abnormalities, large head size, and macrosomia. Cephalhematoma occurs in approximately 0.2 to 4.0% of live births; among premature infants, the incidence is 20%. Cephalhematoma is classified as an extracranial formation along with caput succedaneum (birth tumor), subgaleal hemorrhage and can be focal and widespread. Cephalhematoma usually forms during the first three days of a newborn’s life and can be localized on any bone of the cranial vault. Cephalhematoma resorption begins by the 10 th to 14 th day of life. In case of large hemorrhages, hypotension, anemia, jaundice develop in some cases, neurological symptoms usually occur when cephalhematoma is combined with intracranial hemorrhage. Complications of cephalhematoma include infection and ossification. Along with visual examination and daily measurement of the hemorrhage size with assessment of its density, mobility, and painfulness, the newborn is recommended to undergo neurosonography and/or radiography of the entire skull in one or more projections to exclude skull bone fractures and neurosonography, computed tomography or magnetic resonance imaging of the brain to exclude intracranial hemorrhage, as well as consultation with a neurologist if intracranial hemorrhage is suspected and/or confirmed, as well as if the neurological status changes. Treatment consists of repeated visits to a pediatrician and surgical intervention in case of cephalhematoma suppuration; in the presence of intracranial hemorrhage, conservative or surgical treatment of intracranial hemorrhage is recommended.
作者简介
Dmitry Ivanov
Saint Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: doivanov@yandex.ru
ORCID iD: 0000-0002-0060-4168
SPIN 代码: 4437-9626
MD, PhD, Dr. Sci. (Medicine), Professor, Chief Freelance Neonatologist of the Ministry of Health of Russia, Rector, Head of the Department of Neonatology with courses of Neurology and Obstetrics and Gynecology of Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, 2 Litovskaya st., Saint Petersburg, 194100Alexander Palchik
Saint Petersburg State Pediatric Medical University
Email: xander57@mail.ru
ORCID iD: 0000-0001-9073-1445
SPIN 代码: 1410-4035
MD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with courses in Neurology and Obstetrics of Gynecology at the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, 2 Litovskaya st., Saint Petersburg, 194100Maria Fomina
Saint Petersburg State Pediatric Medical University
Email: myfomina@mail.ru
ORCID iD: 0000-0001-6244-9450
SPIN 代码: 2463-2127
MD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with courses in Neurology and Obstetrics of Gynecology at the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, 2 Litovskaya st., Saint Petersburg, 194100Andrey Ponyatishin
Saint Petersburg State Pediatric Medical University
Email: aponyat@mail.ru
ORCID iD: 0009-0009-9154-6781
SPIN 代码: 5000-2299
MD, PhD, Associate Professor of the Department of Neonatology with courses in Neurology and Obstetrics of Gynecology at the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, 2 Litovskaya st., Saint Petersburg, 194100Aleksey Minin
Saint Petersburg State Pediatric Medical University
Email: alexey_minin@mail.ru
SPIN 代码: 4533-1166
MD, PhD, Associate Professor of the Department of Neonatology with courses in Neurology and Obstetrics of Gynecology at the Faculty of Postgraduate and Additional Professional Education
俄罗斯联邦, 2 Litovskaya st., Saint Petersburg, 194100参考
- Volpe JJ, El-Dib M. Perinatal trauma. Injuries of extracranial, cranial, intracranial, spinal cord, and peripheral nervous system structures. In: Volpe JJ, editor. Volpe’s neurology of the newborn, 7th edit. Elsevier; 2025. P. 1 251–1282. doi: 10.1016/B978-0-443-10513-5.00040-1
- Kiosov AF. Cephalohematomas in children. Lechaschi vrach. 2019;(10):52–55. EDN: ISPLBL (In Russ.)
- Ojumah N, Ramdhan RC, Wilson C, et al. Neurological neonatal birth injuries: A literature review. Cureus. 2017;9(12):e1938. doi: 10.7759/cureus.1938
- Barinov SV, Shamina IV, Chulovskii YI, et al. Risk factors and the development reasons of cephalohematomas in modern conditions. Siberian medical journal (Irkutsk). 2013;(1): 47–49. EDN: QBFVHF
- Volodin NN. Neonatology: national guide. Brief edition. Moscow: GEOTAR-Media; 2019. 896 p. (In Russ.)
- Shabalov NP. Neonatology. In 2 vol. Vol. 1: textbook. Moscow: GEOTAR-Media; 2019. 704 p. (In Russ.)
- Vlasiuk VV, Ivanov DO. Clinical recommendations on diagnosis and treatment of birth trauma (draft). RASPM; 2016. 28 p. (In Russ.)
- Akangire G, Carter B. Birth injuries in neonates. Pediatr Rev. 2016;37(11):451–462. doi: 10.1542/pir.2015-0125
- Barinov SV, Shamina IV, Chernakova EV, et al. Risk factors of neonatal kephalohematoma formation: complications of the gestational period, assessment of neuropsychiatric development of children in the first year of life. National Projects of Russia. 2014;(2): 181–185. (In Russ.)
- Pertceva GM, Borscheva AA. Cephalohematoma. The search for factors, that trigger its occurrence. Kuban Scientific Medical B ulletin. 2017;(2):120–123. EDN: YMXTBF
- Сarvalho F, Medeiros I, Correa F, et al. Hard cranial mass: cephalohematoma? J Pediatr Neonatal Individ Med. 2019;8(1):e080107. doi: 10.7363/080107
- Borna H, Borna S, Mohseni SM, Bager Akhavi Rad SM. Incidence of and risk factors for birth trauma in Iran. Taiwan J Obstet Gynecol. 2010;49(2):170–173. doi: 10.1016/S1028-4559(10)60036-8
- Nabavizadeh SA, Bilaniuk LT, Feygin T, et al. CT and MRI of pediatric skull lesions with fluid-fluid levels. Am J Neuroradiol. 2014;35(3):604–608. doi: 10.3174/ajnr.A3712
- O’Brien WT, Care MM, Leach JL. Pediatric emergencies: imaging of pediatric head trauma. Semin in Ultrasound CT MRI. 2018;39(5):495–514. doi: 10.1053/j.sult.2018.01.007
- Simonson C, Barlow P, Dehennin N, et al. Neonatal complications of vacuum-assisted delivery. Obstet Gynecol. 2007;109(3):626–633. doi: 10.1097/01.AOG.0000255981.86303.2b
- Werner EF, Janevic TM, Illuzzi J, et al. Mode of delivery in nulliparous women and neonatal intracranial injury. Obstet Gynecol. 2011;118(6):1239–1246. doi: 10.1097/AOG.0b013e31823835d3
- Polkowski M, Kuehnle E, Schippert C, et al. Neonatal and maternal short-term outcome parameters in instrumentassisted vaginal delivery compared to second stage cesarean section in labour: A retrospective 11-year analysis. Gynecol Obstet Invest. 2018;83(1):90–98. doi: 10.1159/000458524
- Wen Q, Muraca GM, Ting J, et al. Temporal trends in severe maternal and neonatal trauma during childbirth: a population-based observational study. BMJ Open. 2018;8(3):e020578. doi: 10.1136/bmjopen -2017-020578
- Baibarina EN, Degtyarev DN, Zubkov BB, et al. Clinical recommendations. Basic medical care for the newborn in the delivery room and in the postpartum department. Moscow: Association of Neonatologists; 2015. 33 p. (In Russ.)
- Prilutskaya VA, Ankudovich AV, Elinevsky BL. Clinical and diagnostic markers of neonatal kephalohematomas. In: Sikorsky AV, Kulaga OK, editors. Proceedings of the BSMU: 90 years in the vanguard of medical science and practice. Vol. 4. Minsk: GU RNMB; 2014. P. 243–245. (In Russ.)
- Warke C, Malik S, Chokhandre M, Saboo A. Birth injuries — A review of incidence, perinatal risk factors and outcome. Bombay Hospital Journal. 2012;54(2):202–208.
- Idrissi KJ, Mimi AL, Hassani YE, et al. Calcified cephalohematoma 02 cases report. J Dent Med Sci. 2019;18(1):61–65.
- Ferraz A, Nunes F, Resende C, et al. Complicaciones neonatales a corto plazo de los partos por ventosa. Estudio caso-control. An Pediatr (Barc). 2019;91(6):378–385. doi: 10.1016/j. a npedi.2018.11.016
- Erekeshov AA, Asilbekov UE, Ramazanov EA, et al. Clinical protocol for diagnosis and treatment. Birth trauma (neonatal kephalohematoma). Kazakhstan: Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan; 2017. 8 p. (In Russ.)
- Bardeeva KA, Pisklakov AV, Lukash AA. Osteolysis in child with cephalohematoma. Fundamental research. 2015;(1–1):28–31. EDN: TKBEUP
- Vigo V, Battaglia D I, Frassanito P, et al. Calcified cephalohematoma as an unusual cause of EEG anomalies: case report. J Neurosurg Pediatr. 2017;19(1):46–50. doi: 10.3171/2016. 6.PEDS16120
- Yoon S-D, Cho B-M, Oh S-M, Park S-H. Spontaneous resorption of calcified cephalhematoma in a 9-month-old child: case report. Childs Nerv Syst. 2013;29:517–519. doi: 10.1007/s00381-012-2008-1
- Vlasiuk VV, Ivanov DO. Birth trauma: problems of pathogenesis and diagnosis. In: Ivanov DO, editors. Manual of perinatology. Vol. 2. Saint Petersburg: Inform-Navigator; 2019. P. 1297–1310. (In Russ.)
- Zimmermann P, Duppenthaler A. Infected cephalhaematoma in a five-weekold infant — case report and review of the literature. BMC Infect Dis. 2016;16:636. doi: 10.1186/s12879-016-1982-4
- Wang JF, Lederhandler MH, Oza VS. Escherichia coli -infected cephalohematoma in an infant. Dermatol Online J. 2018;24(11):12. doi: 10.5070/D32411042009
- Ma J-S. Meningitis complicating infected cephalohematoma caused by Klebsiella pneumoniae — case report and review of the literature. Res J Clin Pediatr. 2017 ;2(1):1–2.
- Gresham EL. Birth trauma. Pediatr Clin North Amer. 1975 ;22(2): 317–328. doi: 10.1016/s0031-3955(16)33132-7
- Huisman TAGM. Intracranial hemorrhage: Ultrasound, CT and MRI findings. Eur Radiol. 2005;15( 3):434–440. doi: 10.1007/s00330-004-2615-7
- Kim HM, Kwon SH, Park SH, et al. Intracranial hemorrhage in infants with cephalohematoma. Pediatr Int. 2014;56( 2):378–381. doi: 10.1111/ped.12255
- Iova AS, Guzeva VI, Melashenko TV. Intracranial hemorrhage in preterm newborns. In: Guzeva VI, editor. Federal manual on pediatric neurology. Saint Petersburg: Valetudo; 2023. P. 6–17. (In Russ.)
- Iova AS, Melashenko TV, Tsibizov AI. Clinical recommendations in diagnosis and treatment of intracranial hemorrhages in premature newborns. Child Neurology (clinical recommendations). Guzeva VI, editor. Vol. 3. Moscow: OOO MK; 2015. P. 40–56 (In Russ.)
- Shabalov NP. Neonatology. Vol. 2. Moscow: Medpressinform; 2006. 640 p. (In Russ.)
- Luchtman-Jones L, Schwartz AL, Wilson DB. The blood and hematopoietic system. In: Fanaroff AA, Martin RJ, editors. Neonatal-perinatal medicine. Disorders of fetus and infant. 7 th ed. Saint Louis: Mosby; 2002. P. 1182–1254.
