A manual of obstetrics . of theformation of the caput succedaneum lies in the complete ab-sence of pressure upon that portion of the fetus correspond-ing to the orifice of the parturient canal, the rest of the bodybeing subjected to tremendous muscular force. The con-dition need not excite apprehension: it will spontaneouslydisappear within three or four days after birth. (2) Cephalohematoma.—Of very serious import is thecondition known as ccpJialoJiciiiatoiim, or an exudation ofblood at some point beneath the pericranium (Fig. 162). This is encountered about oncein 200 to 300 cases of childbi
A manual of obstetrics . of theformation of the caput succedaneum lies in the complete ab-sence of pressure upon that portion of the fetus correspond-ing to the orifice of the parturient canal, the rest of the bodybeing subjected to tremendous muscular force. The con-dition need not excite apprehension: it will spontaneouslydisappear within three or four days after birth. (2) Cephalohematoma.—Of very serious import is thecondition known as ccpJialoJiciiiatoiim, or an exudation ofblood at some point beneath the pericranium (Fig. 162). This is encountered about oncein 200 to 300 cases of generally develops on thesecond or third day after a dif-ficult labor, and is due to thepressure exerted upon the partby forceps or by the pelvic wallduring the passage of the would be expected, there-fore, it is most commonly seenupon the lateral aspect of thehead, and, being subpericranial,is confined to the bone or bones that have been injured,being limited by the dipping in of the pericranium at the. Fig. i6z.—Cephalohematoma. PATHOLOGY OF THE NEW-BORN. 715 sutures. It is generally unilateral—over the parietal bone—but there may be an effusion upon both sides. Appearingat the time stated, the tumor rapidly increases in size: atfirst it is soft and elastic to the touch, but later, owing tothe osteogenetic action of the elevated pericranium, smallfoci of ossification occur, and the tumor acquires a parch-ment-like feel, distinctly crepitating under pressure. Oncedeveloped, cephalohematoma may persist for one or twoweeks. The tendency is to resolution or —There is but one condition—caput succeda-neum—with which this tumor may be confounded, and thatonly on superficial investigation. The points of differentia-tion are— Cephalohematona. Caput Succedaneu7n. This is a bloody effusion beneath the peri- This is a serous effusion in the epipericra- craniunn. nial tissues. Develops two or three days after birth. Present at birth. Us
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
