Fetal Birth Injuries

Posted by e-Medical PPT Tuesday, November 16, 2010
Caput succedaneum is a neonatal condition involving a serosanguinous, subcutaneous, extraperiosteal fluid collection with poorly defined margins caused by the pressure of the presenting part of the scalp against the dilating cervix during delivery.
cephalhaematoma is a hemorrhage of blood between the skull and the periosteum of a newborn baby secondary to rupture of blood vessels crossing the periosteum. Because the swelling is subperiosteal its boundaries are limited by the individual bones, in contrast to a chignon.The usual causes of a cephalhematoma are a prolonged second stage of labor or instrumental delivery, particularly ventouse.
Brachial plexus lesions may occur from mechanical injury involving shoulder dystocia during difficult childbirth.
  • Erb's palsy - the arm hangs by the side and is rotated medially; the forearm is extended and pronated. The arm cannot be raised from the side; all power of flexion of the elbow is lost, as is also supination of the forearm".
  • In Klumpke's paralysis, a form of paralysis involving the muscles of the forearm and hand a characteristic sign is the clawed hand, due to loss of function of the ulnar nerve and the intrinsic muscles of the hand it supplies.

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