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Caput succedaneum
Caput succedaneum

Caput succedaneum
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.

Alternative Names:
Caput

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
  • is 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 considered a normal side effect of delivery. No active preventive measures are recommended.
Review Date: 7/11/2002
Reviewed By: Chayim Newmark, M.D., Department of Pediatrics, St. Louis Children's Hospital, Washington University, St. Louis, MO. Review provided by VeriMed Healthcare Network.
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