title: [An unrecognized neonatal emergency: extensive hematoma of the scalp. 5 cases].
abstract: BACKGROUND
  Subgaleal hemorrhage results from a pericranial effusion of blood subsequent to neonatal trauma. This exceptional situation compared with other pericranial effusion conditions in the neonate may be life-threatening.
  
  
  METHODS
  We report the obstetrical and neonatal data in 5 cases of subgaleal hemorrhage observed in our unit over an 8-year 8-month period. We detail one particularly demonstrative case which illustrates the potentially serious course of certain clinical presentations.
  
  
  CONCLUSIONS
  Subgaleal hemorrhage is a clinical diagnosis. Signs of hemorrhagic shock are associated with hemostasis disorders in the more severe forms of the condition. The main risk factor is instrumental delivery with suction. Careful monitoring is required.
authors.affiliation: Service de Médecine néonatale et Réanimation infantile, Centre Hospitalier Universitaire de Grenoble.
authors.forename: C
authors.initials: C
authors.lastname: Broux
authors.forename: P
authors.initials: P
authors.lastname: Andrini
authors.forename: S
authors.initials: S
authors.lastname: Douchin
authors.forename: G
authors.initials: G
authors.lastname: Eymeriaud
authors.forename: C
authors.initials: C
authors.lastname: Marey
authors.forename: I
authors.initials: I
authors.lastname: Wroblewski
authors.forename: P
authors.initials: P
authors.lastname: Rambaud
mesh_terms: D001034:Apgar Score; D001720:Birth Injuries / Q000628:therapy; D004630:Emergencies; D005113:Extraction, Obstetrical / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012535:Scalp; D013997:Time Factors; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects