Cephalohematoma

Classification of Cephalohematoma

Cephalohematoma is classified by volume and location:

• Small — a minor blood accumulation that does not require intervention;

• Medium — a moderate-sized formation requiring observation;

• Large — significant hematomas that may cause complications.

They can also be single or multiple, depending on the number of affected areas.

Causes and Risk Factors

The main cause of cephalohematoma is birth trauma during the passage of the newborn’s head. Risk factors include:

• Prolonged or rapid labor;

• Use of obstetric instruments (forceps, vacuum extractor);

• Large baby size;

• Disproportion between the mother’s pelvis and the fetal head;

• First-time mothers;

• Abnormal fetal presentation.

Symptoms of Cephalohematoma

Cephalohematoma manifests as swelling on the head, which:

• Appears a few hours or days after birth;

• Has clear borders, does not go beyond the bone;

• Feels soft and elastic upon palpation;

• Is not accompanied by skin color changes above the swelling;

• May increase in size during the first days.

Diagnosis 

Diagnosis is based on physical examination and birth history. Additional methods include:

• Ultrasound of the head;

• Neurosonography if intracranial injury is suspected;

• Blood test to assess hemoglobin and bilirubin levels.

Treatment

In most cases, cephalohematoma resolves on its own without treatment. Medical observation includes:

• Monitoring the hematoma size;

• Observing the newborn’s overall condition;

• Checking bilirubin levels to prevent jaundice.

Puncture of Cephalohematoma: Indications and Technique

Puncture is performed in cases of large hematomas that cause complications or do not resolve over time. The procedure includes:

• Local anesthesia of the puncture site;

• Sterile needle insertion into the hematoma;

• Aspiration of its contents;

• Application of a compression bandage.

Rehabilitation after Treatment

After puncture or conservative management, it is important to:

• Ensure rest;

• Prevent head trauma;

• Regularly visit the doctor for follow-up;

• Watch for signs of infection.

Complications and Prognosis

Possible complications include:

• Anemia;

• Jaundice;

• Infection;

• Calcification of the hematoma.

With timely treatment, the prognosis is favorable, and cephalohematoma usually resolves completely.

Prevention

Prevention measures include:

• Proper pregnancy management;

• Choosing the appropriate delivery method;

• Using obstetric instruments only when indicated;

• Monitoring the condition of the mother and fetus.

Treatment of Cephalohematoma in Russia

Clinics

In Russia, treatment of cephalohematoma is available in leading medical institutions:

• Medsi — a large network of clinics with modern equipment for neonatal diagnostics. Highly qualified pediatricians and pediatric surgeons provide advanced treatment methods. The clinic ensures an individualized approach and round-the-clock newborn care.

• Mother and Child — a specialized center focused on the health of newborns and children. The clinic uses advanced diagnostic technologies (ultrasound, neurosonography) and effective treatment methods. Physicians are experienced in managing birth trauma complications, ensuring high-quality care and comfort for both child and parents.

Both clinics hold all necessary licenses and certifications, guarantee sterility and safety of procedures, and provide comprehensive family support during treatment.

Cost

The cost of cephalohematoma treatment depends on the scope of diagnostic procedures and required therapy. On average, prices range from $180 to $650, including examinations and medical interventions.

MARUS Assistance

MARUS specializes in organizing medical treatment in Russia for international patients, including the management of cephalohematoma in newborns. We select the best clinics with experienced specialists and modern equipment, ensuring a personalized approach to each case.

Our managers coordinate consultations with doctors, help obtain detailed medical information, and prepare the necessary documents for entry and treatment in Russia.

In addition, MARUS supports patients at every stage — from the first consultation to rehabilitation — including medical translation services and assistance with accommodation.

We strive to make the process of receiving high-quality medical care as convenient and transparent as possible for international patients and their families.