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Cephalohaematoma — DCH MCQ

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ModerateNeonatologyCephalohaematomaDCH

A newborn has swelling over the parietal bone after vacuum delivery. It does not cross suture lines and the baby is otherwise well with normal observations. What is the most likely diagnosis?

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Correct answer: C — Cephalohaematoma

Cephalohaematoma is a subperiosteal bleed and therefore does not cross suture lines. Caput crosses sutures and is usually more diffuse, while subgaleal haemorrhage is potentially dangerous with diffuse swelling and shock. The pearl is to monitor for jaundice because cephalohaematoma increases bilirubin load.

Reference: RCPCH; NICE CG98