title: SUBGALEAL HEMATOMA AS A PERINATAL PRESENTATION OF RARE HEMATOLOGIC PROBLEMS IN NEWBORNS. OWN EXPERIENCE.
abstract: BACKGROUND
  Bleeding to the subgaleal space is a rare and often serious complication of childbirth. Delivery with the use of vacuum or forceps is considered as the main risk factor of subgaleal hemorrhage. Reports of other possible causes (including fetal ones) appear rarely.
  
  
  OBJECTIVE
  The aim of this study is to present and analyze two unusual cases of bleeding to subgaleal space in neonates delivered through caesarean section, in whom two different concomitant hematologic problems were diagnosed. The authors demonstrate also the mechanisms leading to the formation of subgaleal hematoma as well as discuss the impact of the final diagnosis on the course of the perinatal period and the need to modify medical practice in a variety of clinical situations in both newborns and their mothers.
  
  
  METHODS
  Authors present two consecutive cases of severe subgaleal hemorrhage.
  
  
  RESULTS
  In the first newborn hemophilia was finally diagnosed. The second neonate was diagnosed with neonatal alloimmune thrombocytopenia.
  
  
  CONCLUSIONS
  Subgaleal hemorrhage is a rare complication of delivery. In severe cases, other possible risks should be considered apart from the traumatic delivery only. An early identification of potential hematological risk factors can influence the effectiveness of the treatment and help to modify the follow-up of both the infant and its mother.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Talar
authors.forename: Urszula
authors.initials: U
authors.lastname: Pacześniak
authors.forename: Marek
authors.initials: M
authors.lastname: Nowiczewski
authors.forename: Magdalena
authors.initials: M
authors.lastname: Kostrzewska
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Leszczyńska
authors.forename: Ewa
authors.initials: E
authors.lastname: Gulczyńska
mesh_terms: D025861:Blood Coagulation Disorders, Inherited / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D002585:Cesarean Section; D006259:Craniocerebral Trauma / Q000209:etiology*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D054098:Thrombocytopenia, Neonatal Alloimmune / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy