Ruptured Neonatal Subgaleal Haemorrhage: Challenges of Management from a Resource Limited Setting
Mustapha Bello *
Department of Paediatrics, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Abdulrasheed Nasir
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria
Awwal Abubakar
Department of Surgery, Federal Medical Centre, Yola, Nigeria
Ahmadu Baba Usman
Department of Paediatrics, Federal Medical Centre, Yola, Nigeria
Simon Pius
Department of Paediatrics, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
Talba Aliyu
Department of Paediatrics, Federal Medical Centre, Yola, Nigeria
*Author to whom correspondence should be addressed.
Abstract
Despite advances in obstetric and neonatal care, subgaleal haemorrhage continues to create significant challenges to health personnel, especially in poor human resource/ facility settings, where a specialist may not always be readily available, thereby contributing significantly to morbidity and mortality. This study was undertaken to highlight the different methods of presentation of subgaleal haemorrhage and the need for early identification and management to improve the outcomes. A confirmed case of ruptured subgaleal haemorrhage was documented over a 12-month periods where no mortality was recorded. The high index of suspicion is the key to early diagnosis. Identification of risk factors, early diagnosis, and prompt and aggressive treatment of hypovolemia will reduce morbidity and mortality.
Keywords: Ruptured subgaleal haemorrhage, massage of scalp swelling, neonate