Differences Between Subgaleal Hematoma and Cephalohematoma

As a parent or caregiver, noticing any abnormalities or injuries on a newborn can be a cause for concern. One common issue that can occur in newborns is the presence of head injuries, such as subgaleal hematoma and cephalohematoma.

While these conditions may sound similar, they have distinct differences in terms of causes, symptoms, and treatments.

In this blog post, we will explore the disparities between subgaleal hematoma and cephalohematoma to help you better understand these conditions and how they impact newborns.

Understanding Subgaleal Hematoma and Cephalohematoma

Subgaleal hematoma and cephalohematoma are both conditions that involve bleeding underneath the scalp of a newborn. However, the location and severity of the bleeding differ between the two.

Subgaleal hematoma refers to bleeding that occurs between the scalp and the skull, specifically in the area known as the subgaleal space.

On the other hand, cephalohematoma is bleeding that occurs between the skull and the periosteum, a membrane that covers the bones of the skull.

Causes and Symptoms

Subgaleal hematoma is often caused by trauma during childbirth, particularly the use of vacuum extraction or forceps. This can lead to significant bleeding in the subgaleal space, resulting in a noticeable swelling on the baby's head.

In contrast, cephalohematoma is typically caused by pressure exerted on the baby's head during delivery, leading to bleeding between the skull and periosteum.

This condition is characterized by a raised bump on the baby's head that may feel soft to the touch.

  • Subgaleal Hematoma Diagnosis:
  • Diagnosed through physical examination and imaging tests like ultrasound.
  • Symptoms include a soft, fluid-filled swelling on the baby's head.
  • Bleeding may spread rapidly and cause significant swelling.
  • Difference between Subgaleal Hematoma and Cephalohematoma:
  • Subgaleal hematoma involves bleeding between the scalp and skull.
  • Cephalohematoma involves bleeding between the skull and periosteum.
  • Causes and symptoms of each condition vary.

Newborn Head Injury Comparison

When comparing subgaleal hematoma and cephalohematoma, it is essential to understand how these conditions differ in terms of their impact on newborns. Subgaleal hematoma, due to its location between the scalp and skull, can lead to rapid and extensive bleeding.

This can result in significant swelling and potential complications if not diagnosed and treated promptly. In contrast, cephalohematoma, while also causing swelling, tends to be less severe and may resolve on its own over time without intervention.

Treatment for Subgaleal Hematoma

The treatment for subgaleal hematoma often involves close monitoring of the baby's condition, as well as addressing any underlying issues that may have led to the bleeding.

In severe cases, a blood transfusion may be necessary to replace lost blood and stabilize the baby's condition.

It is crucial for healthcare providers to carefully manage subgaleal hematoma to prevent complications such as hypovolemic shock, a condition that occurs when the body loses a significant amount of blood.

Birth Trauma Swelling Differences

Birth trauma swelling, such as subgaleal hematoma and cephalohematoma, can be distressing for parents and caregivers. Understanding the differences between these conditions can help alleviate concerns and ensure proper care for the newborn.

Subgaleal hematoma, with its potential for rapid bleeding and extensive swelling, requires immediate medical attention to prevent complications. Cephalohematoma, while less severe, should still be monitored by healthcare providers to ensure proper healing and resolution.

Skull Injury Conditions in Newborns

Skull injury conditions in newborns, such as subgaleal hematoma and cephalohematoma, highlight the importance of vigilance and prompt medical care during childbirth.

These conditions can arise from the use of assisted delivery techniques or the pressure exerted on the baby's head during birth.

While subgaleal hematoma poses a higher risk of complications due to its location and potential for rapid bleeding, cephalohematoma is generally less concerning and may resolve on its own over time.

Cephalohematoma vs Subgaleal Bleeding

Cephalohematoma and subgaleal bleeding are both forms of head injuries that can occur in newborns, but they differ in terms of location and severity.

Cephalohematoma involves bleeding between the skull and periosteum, leading to a raised bump on the baby's head. Subgaleal bleeding, on the other hand, occurs between the scalp and skull, resulting in significant swelling and potential complications.

Understanding the distinctions between these conditions is crucial for timely diagnosis and appropriate treatment.


Infant Cranial Hematomas

Infant cranial hematomas, including subgaleal hematoma and cephalohematoma, can be concerning for parents and caregivers. These conditions may cause visible swelling on the baby's head and require careful monitoring by healthcare providers.

While cephalohematoma typically resolves on its own without intervention, subgaleal hematoma may require more aggressive management to prevent complications. By understanding the differences between these conditions, parents can advocate for proper care and treatment for their newborn.

In conclusion, subgaleal hematoma and cephalohematoma are distinct conditions that involve bleeding underneath the scalp of newborns.

While both conditions can cause swelling and concern for parents, understanding the differences in causes, symptoms, and treatments is crucial for providing appropriate care.

By being aware of the signs and seeking medical attention promptly, parents and caregivers can ensure the well-being of their newborns and address any head injuries effectively.

If you have any concerns about your baby's health, always consult with a healthcare provider for guidance and support.