4) A subgaleal hemorrhage
is located under the cranial aponeurosis and above the periosteum.
Beginning in October, physicians who deliver a baby that sustains a subgaleal hemorrhage should begin using a new diagnosis code for the injury.
1 and was developed to separate subgaleal hemorrhage from other birth injuries, said Dr.
1 was used to indicate diagnoses of caput succedaneum, cephalhematoma, and chignon, a situation that made it difficult to track the incidence and causes of subgaleal hemorrhage.
Interest in subgaleal hemorrhage intensified in 1998, when the Food and Drug Administration issued a public health advisory about complications with vacuum-assisted deliveries.
Most serious perinatal injuries associated with vacuum-assisted delivery (VAD), including subgaleal hemorrhage
, appear before delivery, said Dr.
Although there is a higher association of subgaleal hemorrhage with vacuum delivery, vacuum devices are not the only cause of this injury," she said in an interview.
Nor is subgaleal hemorrhage the most commonly reported injury associated with vacuums, Dr.
The vast majority of these injuries were subgaleal hemorrhages, which are specific to vacuum devices.
Although rare, subgaleal hemorrhage (also known as cephalhematoma), intracranial and retinal hemorrhage, skull and clavicular fractures, and Erb's palsy are associated with operative-assisted delivery.
Because the bleeding from a subgaleal hemorrhage occurs beneath the periosteum, it encounters no barriers and as a result can dissect down to the neck and beyond if not detected early enough.
The symptoms and signs of subgaleal hemorrhage include tachycardia, pallor, tachypnea, hypotension, lethargy, and poor suck.