Question
A newborn developed a cephalhematoma on the left side of the head due to head compression at birth. It has been 20 days now, and there is a bulge on the left side of the head. Is there a problem, or are there any treatment methods to eliminate the hematoma?
Answer
Cephalhematoma in newborns can be categorized into subcutaneous hematoma, subgaleal hematoma, and subperiosteal hematoma. Subcutaneous hematoma is limited in scope and is distinctly tender, possibly requiring a head X-ray for diagnosis. Subgaleal hematoma is characterized by its tendency to spread, large blood volume, and relatively mild pain. Subperiosteal hematoma is confined to the sutures and has a harder texture. The treatment approach depends on the type and severity of the hematoma, which may include observation, compression bandaging, or surgical treatment.