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Caput Succedaneum

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1. Caput Succedaneum

Caput Succedaneum Caput Succedaneum Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Caput Succedaneum Caput Succedaneum Aka: Caput (...) Succedaneum From Related Chapters II. Pathophysiology Accumulation of serosanguineous subcutaneous fluid III. Signs Poorly defined margins of fluid Fluid extends across midline and lines IV. Associated conditions Head Molding V. Course Soft tissue edema resolves over first few days of life Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Caput Succedaneum." Click on the image (or right click) to open the source website in a new browser

2018 FP Notebook

2. Caput Succedaneum

Caput Succedaneum Caput Succedaneum Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Caput Succedaneum Caput Succedaneum Aka: Caput (...) Succedaneum From Related Chapters II. Pathophysiology Accumulation of serosanguineous subcutaneous fluid III. Signs Poorly defined margins of fluid Fluid extends across midline and lines IV. Associated conditions Head Molding V. Course Soft tissue edema resolves over first few days of life Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Caput Succedaneum." Click on the image (or right click) to open the source website in a new browser

2015 FP Notebook

4. CRACKCast E038 – Pediatric Trauma

exam: ABC’s interventions maintain oxygenation and perfusion optimize glucose euvolemia CPP = MAP – ICP no matter what a child’s neuro presentation in the ED careful resuscitation is needed 9) List the 5 layers of the scalp and describe 3 types of extra cranial bleeding in pediatrics Layers of the scalp – use the SCALP mnemonic: S – Skin C – Connective Tissue A – Aponeurosis L – Loose Connective Tissue P – Periosteum Caput succedaneum: hematoma, freely mobile and crosses suture lines

2016 CandiEM

5. Newborn Nursing Care Pathway

• Carrying infant in arms (vs. in infant seat) assists with prevention of flat head And promotes bonding Refer to: Healthy Families BC Website – www.healthyfamiliesbc.ca/parenting Physiological Health: Head8 Perinatal Services BC Physiological Assessment 0 – 12 hours Period of Stability (POS) >12 – 24 hours >24 – 72 hours >72 hours – 7 days and beyond HeAd (Continued) Variance • Caput succedaneum crosses suture lines (edema caused by sustained pressure of occiput against cervix) 15 • Cephalohematoma (...) – collection of blood between skull bone & periosteum caused by pressure against maternal pelvis or forceps – does not cross suture lines 16 • Bruising, excoriation, lacerations • Bulging or sunken fontanelles • Neck webbing, limited range of motion • Masses • Hydrocephaly • Microcephaly Intervention • Nursing assessment • Refer to appropriate PHCP prn Variance • Refer to POS • Caput succedaneum – disappears spontaneously within 3 – 4 days 17 • Infants who birth with assistance of vacuum extraction may

2015 British Columbia Perinatal Health Program

6. Risk factors associated with subgaleal hemorrhage in neonates exposed to vacuum extraction. (PubMed)

similar between the groups except for higher neonatal birth weight in the SGH group. In multivariate logistic regression analysis, only six independent risk factors were significantly associated with the development of SGH: second stage duration (for each 30-minute increase, adjusted odds ratio [OR]: 1.13; 95% confidence intervals [CI]: 1.04, 1.25; P = 0.006), presence of meconium stained amniotic fluid (adjusted OR: 2.61; 95% CI: 1.52, 4.48; P = 0.001), presence of caput succedaneum (adjusted (...) , the number of dislodgments, the duration of second stage of delivery, fetal head station, the presence of caput succedaneum, and the presence of meconium were found to be independently associated with SGH formation This article is protected by copyright. All rights reserved.This article is protected by copyright. All rights reserved.

2019 Acta Obstetricia et Gynecologica Scandinavica

7. Forceps vs Vacuum. Rate of Levator Ani Muscle Avulsion: Clinical Trial.

instrumentation were performed by obstetricians with a minimum of five years' experience in obstetric practice. In terms of analgesia, epidural analgesia was used for intrapartum analgesia. The forceps used for the instrumentation was the forceps of Kielland and the vacuum was a metal vacuum (Bird's cup 50 mm, 80 kPa) was used to perform fetal extraction. A suction cup was carefully placed over the flexion point, avoiding caput succedaneum, and rapid negative pressure was applied (over 2 min, until 0.6-0.8 kg

2018 Clinical Trials

8. PURLs: Does azithromycin have a role in cesarean sections? (PubMed)

PURLs: Does azithromycin have a role in cesarean sections? A 26-year-old G1P0 at 40w1d presents in spontaneous labor and is dilated to 4 cm. The patient reached complete cervical dilation after artificial rupture of membranes and oxytocin augmentation. After 4 hours of pushing, there has been minimal descent of the fetal vertex beyond +1 station with significant caput succedaneum. Her physician decides to proceed with cesarean delivery. What antibiotics should be administered prior to incision

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2017 Journal of Family Practice

9. A model to predict vaginal delivery in nulliparous women based on maternal characteristics and intrapartum ultrasound (PubMed)

. Labor was classified as prolonged according to the respective countries' national guidelines. Fetal head position was assessed with transabdominal ultrasound and cervical dilatation by digital examination, and transperineal ultrasound was used to determine head-perineum distance and the presence of caput succedaneum. The subjects were divided into a testing set (n = 61) and a validation set (n = 61) and a risk score derived using multivariable logistic regression with vaginal birth as the outcome (...) , which was dichotomized into no/cesarean delivery and yes/vaginal birth. Covariates included head-perineum distance, caput succedaneum, and occiput posterior position, which were dichotomized respectively into the following: ≤40 mm, >40 mm, <10 mm, ≥10 mm, and no, yes. Maternal age, gestational age, and maternal body mass index were included as continuous covariates.Dichotomized score is significantly associated with vaginal delivery (P = .03). Women with a score above the median had greater than 10

2015 EvidenceUpdates

10. A model to predict vaginal delivery in nulliparous women based on maternal characteristics and intrapartum ultrasound. (PubMed)

. Labor was classified as prolonged according to the respective countries' national guidelines. Fetal head position was assessed with transabdominal ultrasound and cervical dilatation by digital examination, and transperineal ultrasound was used to determine head-perineum distance and the presence of caput succedaneum. The subjects were divided into a testing set (n = 61) and a validation set (n = 61) and a risk score derived using multivariable logistic regression with vaginal birth as the outcome (...) , which was dichotomized into no/cesarean delivery and yes/vaginal birth. Covariates included head-perineum distance, caput succedaneum, and occiput posterior position, which were dichotomized respectively into the following: ≤40 mm, >40 mm, <10 mm, ≥10 mm, and no, yes. Maternal age, gestational age, and maternal body mass index were included as continuous covariates.Dichotomized score is significantly associated with vaginal delivery (P = .03). Women with a score above the median had greater than 10

2015 American Journal of Obstetrics and Gynecology

11. Clinical impact of the disposable ventouse iCup® versus a metallic vacuum cup: a multicenter randomized controlled trial. (PubMed)

of cup dysfunction and the most frequent maternal and neonatal harms: the use of other instruments after attempted vacuum extraction, caesarean section after attempted vacuum extraction, three detachments of the cup, caput succedaneum, cephalohaematoma, episiotomy and perineal tears.335 women were randomized to the disposable cup and 333 to extraction using the metallic cup. There was no significant difference between the two groups for the primary outcome. However, failed instrumental delivery

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2015 BMC pregnancy and childbirth

12. Assesment by Ultrasonography of the Perineal-cephalic Distance

examination considered as a gold standard Secondary Outcome Measures : Perineal-cephalic distance measured in milimeters according to specific conditions: posterior positions, th etime from induction to delivery, presence of caput succedaneum [ Time Frame: one day ] Determine the interest of the echography measurement in specific conditions (variety of posterior presentations, caput succedaneum, work stagnation) regarding the diagnosis of engagement, in case of doubt concerning the clinical examination

2015 Clinical Trials

13. Face Presentation (Overview)

uterine contractions and maternal expulsive forces may cause the mentum to extend anteriorly and low to present at the perineum as a mentum anterior face presentation. If internal rotation does not occur, the occipitomental diameter, which measures 1.5 cm wider than the suboccipitobregmatic diameter and is thus the largest diameter of the fetal head, presents at the pelvic inlet. The head may engage but can descend only with significant molding. This molding and subsequent caput succedaneum over

2014 eMedicine.com

14. Brow Presentation (Overview)

uterine contractions and maternal expulsive forces may cause the mentum to extend anteriorly and low to present at the perineum as a mentum anterior face presentation. If internal rotation does not occur, the occipitomental diameter, which measures 1.5 cm wider than the suboccipitobregmatic diameter and is thus the largest diameter of the fetal head, presents at the pelvic inlet. The head may engage but can descend only with significant molding. This molding and subsequent caput succedaneum over

2014 eMedicine.com

15. Visual Analysis of Neonatal EEG (Diagnosis)

of background activity, frequency, symmetry, reactivity, synchrony, and maturational and paroxysmal patterns. Amplitude: The spectrum of abnormalities of background varies from the ominous pattern of electrocerebral inactivity to the more benign finding of low-amplitude activity during discontinuous sleep. Note that caput succedaneum, scalp edema, and subdural effusions or hematomas may affect the apparent amplitude of the EEG. The most extreme abnormality in amplitude consists of electrocerebral inactivity

2014 eMedicine.com

16. Face Presentation (Diagnosis)

and subsequent caput succedaneum over the forehead can become so extensive that identification of the brow by palpation is impossible late in labor. This may result in a missed diagnosis in a patient who presents later in active labor. If the mentum is anterior and the forces of labor are directed toward the fetal occiput, flexing the head and pivoting the face under the pubic arch, there is conversion to a vertex occiput posterior position. If the occiput lies against the sacrum and the forces of labor

2014 eMedicine.com

17. Visual Analysis of Neonatal EEG (Treatment)

of background activity, frequency, symmetry, reactivity, synchrony, and maturational and paroxysmal patterns. Amplitude: The spectrum of abnormalities of background varies from the ominous pattern of electrocerebral inactivity to the more benign finding of low-amplitude activity during discontinuous sleep. Note that caput succedaneum, scalp edema, and subdural effusions or hematomas may affect the apparent amplitude of the EEG. The most extreme abnormality in amplitude consists of electrocerebral inactivity

2014 eMedicine.com

18. Visual Analysis of Neonatal EEG (Overview)

of background activity, frequency, symmetry, reactivity, synchrony, and maturational and paroxysmal patterns. Amplitude: The spectrum of abnormalities of background varies from the ominous pattern of electrocerebral inactivity to the more benign finding of low-amplitude activity during discontinuous sleep. Note that caput succedaneum, scalp edema, and subdural effusions or hematomas may affect the apparent amplitude of the EEG. The most extreme abnormality in amplitude consists of electrocerebral inactivity

2014 eMedicine.com

19. Face Presentation (Treatment)

and subsequent caput succedaneum over the forehead can become so extensive that identification of the brow by palpation is impossible late in labor. This may result in a missed diagnosis in a patient who presents later in active labor. If the mentum is anterior and the forces of labor are directed toward the fetal occiput, flexing the head and pivoting the face under the pubic arch, there is conversion to a vertex occiput posterior position. If the occiput lies against the sacrum and the forces of labor

2014 eMedicine.com

20. Face Presentation (Follow-up)

and subsequent caput succedaneum over the forehead can become so extensive that identification of the brow by palpation is impossible late in labor. This may result in a missed diagnosis in a patient who presents later in active labor. If the mentum is anterior and the forces of labor are directed toward the fetal occiput, flexing the head and pivoting the face under the pubic arch, there is conversion to a vertex occiput posterior position. If the occiput lies against the sacrum and the forces of labor

2014 eMedicine.com

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