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Subgaleal Hemorrhage Related to Birth

MedGen UID:
857041
•Concept ID:
C3897447
•
Finding
Synonym: Epicranial Subaponeurotic Hemorrhage Related to Birth

Definition

Bleeding in the potential space between the skull periosteum and the scalp galea aponeurosis of a newborn infant due to shearing forces on the tentorium and deep venous system during labor and delivery. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSubgaleal Hemorrhage Related to Birth

Professional guidelines

PubMed

Germinal matrix hemorrhage of prematurity: treatment approaches and outcomes in a single institutional review in the Ukraine.
Lim LW, Volkodav OV
Pediatr Neurosurg 2009;45(2):132-40. Epub 2009 Mar 21 doi: 10.1159/000209288. PMID: 19307748
Part 1: early recognition and treatment of birth trauma: injuries to the head and face.
Parker LA
Adv Neonatal Care 2005 Dec;5(6):288-97; quiz 298-300. doi: 10.1016/j.adnc.2005.09.001. PMID: 16338668

Recent clinical studies

Etiology

Neonatal subgaleal hemorrhage: twenty years of trends in incidence, associations, and outcomes.
Christensen TR, Bahr TM, Henry E, Ling CY, Hanton TH, Page JM, Ilstrup SJ, Carr NR, Ohls RK, Christensen RD
J Perinatol 2023 May;43(5):573-577. Epub 2022 Oct 28 doi: 10.1038/s41372-022-01541-z. PMID: 36307481
Outcomes of vacuum-assisted vaginal deliveries of mothers with gestational diabetes mellitus.
Vitner D, Hiersch L, Ashwal E, Nassie D, Yogev Y, Aviram A
J Matern Fetal Neonatal Med 2019 Nov;32(21):3595-3599. Epub 2018 May 2 doi: 10.1080/14767058.2018.1468880. PMID: 29720015
Maternofetal Trauma in Craniosynostosis.
Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
Plast Reconstr Surg 2015 Aug;136(2):214e-222e. doi: 10.1097/PRS.0000000000001468. PMID: 26218396
Ventriculosubgaleal shunt in the treatment of posthemorrhagic and postinfectious hydrocephalus of premature infants.
Nagy A, Bognar L, Pataki I, Barta Z, Novak L
Childs Nerv Syst 2013 Mar;29(3):413-8. Epub 2012 Dec 4 doi: 10.1007/s00381-012-1968-5. PMID: 23207973
Part 1: early recognition and treatment of birth trauma: injuries to the head and face.
Parker LA
Adv Neonatal Care 2005 Dec;5(6):288-97; quiz 298-300. doi: 10.1016/j.adnc.2005.09.001. PMID: 16338668

Diagnosis

Neonatal subgaleal hemorrhage: twenty years of trends in incidence, associations, and outcomes.
Christensen TR, Bahr TM, Henry E, Ling CY, Hanton TH, Page JM, Ilstrup SJ, Carr NR, Ohls RK, Christensen RD
J Perinatol 2023 May;43(5):573-577. Epub 2022 Oct 28 doi: 10.1038/s41372-022-01541-z. PMID: 36307481
Neonatal complications among 596 infants delivered by vacuum extraction (in relation to characteristics of the extraction).
Ekéus C, Wrangsell K, Penttinen S, Åberg K
J Matern Fetal Neonatal Med 2018 Sep;31(18):2402-2408. Epub 2017 Jul 10 doi: 10.1080/14767058.2017.1344631. PMID: 28629251
Maternofetal Trauma in Craniosynostosis.
Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
Plast Reconstr Surg 2015 Aug;136(2):214e-222e. doi: 10.1097/PRS.0000000000001468. PMID: 26218396
Germinal matrix hemorrhage of prematurity: treatment approaches and outcomes in a single institutional review in the Ukraine.
Lim LW, Volkodav OV
Pediatr Neurosurg 2009;45(2):132-40. Epub 2009 Mar 21 doi: 10.1159/000209288. PMID: 19307748
Part 1: early recognition and treatment of birth trauma: injuries to the head and face.
Parker LA
Adv Neonatal Care 2005 Dec;5(6):288-97; quiz 298-300. doi: 10.1016/j.adnc.2005.09.001. PMID: 16338668

Therapy

Maternal and neonatal trauma following operative vaginal delivery.
Muraca GM, Boutin A, Razaz N, Lisonkova S, John S, Ting JY, Scott H, Kramer MS, Joseph KS
CMAJ 2022 Jan 10;194(1):E1-E12. doi: 10.1503/cmaj.210841. PMID: 35012946Free PMC Article
Neonatal complications among 596 infants delivered by vacuum extraction (in relation to characteristics of the extraction).
Ekéus C, Wrangsell K, Penttinen S, Åberg K
J Matern Fetal Neonatal Med 2018 Sep;31(18):2402-2408. Epub 2017 Jul 10 doi: 10.1080/14767058.2017.1344631. PMID: 28629251
Risk factors for failed vacuum extraction and associated complications in term newborn infants: a population-based cohort study.
Ahlberg M, Norman M, Hjelmstedt A, Ekéus C
J Matern Fetal Neonatal Med 2016;29(10):1646-51. Epub 2015 Jul 27 doi: 10.3109/14767058.2015.1057812. PMID: 26135756
Maternofetal Trauma in Craniosynostosis.
Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
Plast Reconstr Surg 2015 Aug;136(2):214e-222e. doi: 10.1097/PRS.0000000000001468. PMID: 26218396
Subgaleal hemorrhage with dural tear and parietal-lobe herniation in association with a vacuum extraction.
Kicklighter SD, Wolfe D, Perciaccante JV
J Perinatol 2007 Dec;27(12):797-9. doi: 10.1038/sj.jp.7211845. PMID: 18034165

Prognosis

Neonatal subgaleal hemorrhage: twenty years of trends in incidence, associations, and outcomes.
Christensen TR, Bahr TM, Henry E, Ling CY, Hanton TH, Page JM, Ilstrup SJ, Carr NR, Ohls RK, Christensen RD
J Perinatol 2023 May;43(5):573-577. Epub 2022 Oct 28 doi: 10.1038/s41372-022-01541-z. PMID: 36307481
Maternal and neonatal trauma following operative vaginal delivery.
Muraca GM, Boutin A, Razaz N, Lisonkova S, John S, Ting JY, Scott H, Kramer MS, Joseph KS
CMAJ 2022 Jan 10;194(1):E1-E12. doi: 10.1503/cmaj.210841. PMID: 35012946Free PMC Article
Maternofetal Trauma in Craniosynostosis.
Swanson J, Oppenheimer A, Al-Mufarrej F, Pet M, Arakawa C, Cunningham M, Gruss J, Hopper R, Birgfeld C
Plast Reconstr Surg 2015 Aug;136(2):214e-222e. doi: 10.1097/PRS.0000000000001468. PMID: 26218396
Unusual diastatic separation of the sagittal suture: Avoiding confusion with inflicted head trauma.
Obenson K
J Forensic Leg Med 2015 Feb;30:14-5. Epub 2014 Dec 19 doi: 10.1016/j.jflm.2014.12.002. PMID: 25623188
Ventriculosubgaleal shunt in the treatment of posthemorrhagic and postinfectious hydrocephalus of premature infants.
Nagy A, Bognar L, Pataki I, Barta Z, Novak L
Childs Nerv Syst 2013 Mar;29(3):413-8. Epub 2012 Dec 4 doi: 10.1007/s00381-012-1968-5. PMID: 23207973

Clinical prediction guides

Outcomes of vacuum-assisted vaginal deliveries of mothers with gestational diabetes mellitus.
Vitner D, Hiersch L, Ashwal E, Nassie D, Yogev Y, Aviram A
J Matern Fetal Neonatal Med 2019 Nov;32(21):3595-3599. Epub 2018 May 2 doi: 10.1080/14767058.2018.1468880. PMID: 29720015
Neonatal complications among 596 infants delivered by vacuum extraction (in relation to characteristics of the extraction).
Ekéus C, Wrangsell K, Penttinen S, Åberg K
J Matern Fetal Neonatal Med 2018 Sep;31(18):2402-2408. Epub 2017 Jul 10 doi: 10.1080/14767058.2017.1344631. PMID: 28629251
Neonatal complications in vacuum-assisted vaginal delivery: are they associated with number of pulls, cup detachments, and duration of vacuum application?
Ghidini A, Stewart D, Pezzullo JC, Locatelli A
Arch Gynecol Obstet 2017 Jan;295(1):67-73. Epub 2016 Sep 28 doi: 10.1007/s00404-016-4206-7. PMID: 27677283
Risk factors for failed vacuum extraction and associated complications in term newborn infants: a population-based cohort study.
Ahlberg M, Norman M, Hjelmstedt A, Ekéus C
J Matern Fetal Neonatal Med 2016;29(10):1646-51. Epub 2015 Jul 27 doi: 10.3109/14767058.2015.1057812. PMID: 26135756
Subgaleal hemorrhage with dural tear and parietal-lobe herniation in association with a vacuum extraction.
Kicklighter SD, Wolfe D, Perciaccante JV
J Perinatol 2007 Dec;27(12):797-9. doi: 10.1038/sj.jp.7211845. PMID: 18034165

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