engleski

Cephalohaematoma-possible perinatal neurorisk factor

Introduction. Cephalohaematoma is a collection of blood, between the skull bone and periosteum, which according to clinical presentation, could be admitted to perinatal risk factors. The aim of this paper is to present the most common brain ultrasound (US) change in infants with cephalohaematoma, and assess eventual neurorisk in egzamined population. Methods. We retrospectively analized the US brain changes in healthy term infants with cephalohaematoma, additionaly to anamnesis and other clinical risk factors. We analyzed 2970 participants during one calendar year in the maternity ward of our institution. Results. The frequency of cephalohaematoma is 1.55 %. The average birth weight was 3443.26 + 412.41 g, length 49.69 + 1.57 cm and head circumference 35.22 + 0.62 cm. We didn't observed any other birth trauma, congenital anomalies, coagulation disorders, or neurological deviations. Normal brain US observed in 67.39% of the respondents. Abnormal US findings had 32.61% of the respondents, of which a significant change in US had 3 children (6.53%). Cephalohaematoma was the only risk factor in 17 children (36.96%). Low neurorisk factors had 5 patients (10.87%), and in 24 infants with cephalohaematoma we found factors of high neurorisk (52.17%). The most common additional risk factors are gestational diabetes (19.57%), infections during pregnancy (17.39%) and head circumference above the 95th percentile (17.39%). Conclusion. US of the brain is useful, simple and objective method that is already in the maternity ward may be supplemented by anamnesis and clinical data in order to assess the possible factors of neurorisk in newborns with cephalohaematoma.

Cephahaematoma; risk factor; perinatal risk

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