Vacuum delivery: 2 cases of subgaleal haemorrhage

Abstract

Subgaleal haemorrhage (SGH) is a rare complication of vacuum delivery. Although SGH can rapidly be life-threatening, its symptoms are initially confused with both common and benign cephalohematoma or caput succedaneum. Cardiovascular compromise leads to systemic difference in presentation: alterations in colour, heart rate and general condition. Vital parameters are important clues to improve diagnosis after instrumental delivery. The diagnosis of SGH remains clinical: important swelling of the scalp that accumulates in the declive areas, pallor, tachycardia, irritability, convulsions or hypotonia are the main signs. Management consists of rapid correction of hypovolemia. Early initiation of treatment is associated with better outcomes.