Caput Succedaneum

What is caput succedaneum?

A caput succedaneum is a type of swelling around the skull, which can give an infant a “conehead” appearance (1). Usually, it forms after a difficult delivery. The caput succedaneum will typically disappear within a few days, but if bruising is involved, the infant may develop jaundice. If left untreated, this can lead to more serious problems (2). Sometimes, they may also have a “halo scalp ring” pattern of alopecia (baldness) or infection (3).

what is caput succedaneum?

Causes and risk factors

prolonged delivery with excessive pressure on the baby’s head can cause swelling and bruising. Additionally, a caput succedaneum is more likely to form in deliveries with the following complications/characteristics:

Signs and diagnosis

caput succedaneum is usually most obvious immediately after delivery. Medical professionals should recognize it as a soft swelling of the scalp, primarily on the part of the head which came through the birth canal first, although it may extend to both sides of the scalp. It is typically 1-2 cm in depth. There may be bruising or changes to the color of the skin (2, 5).

Treatment and long-term outcomes

In most cases, no treatment is needed for a caput succedaneum; it will likely go away on its own. However, if there is bruising involved, this may lead to elevated bilirubin and jaundice (6). Jaundice is usually not a serious threat either, and in a mild form, often resolves spontaneously. Sometimes jaundice does require treatment, which may include phototherapy, blood transfusions, or addressing any underlying causes (7).

If more intense degrees of jaundice go undiagnosed or are improperly managed, this can result in kernicterus, which is a dangerous and permanent form of brain damage. Babies with kernicterus may develop cerebral palsy, hearing impairments, and other lifelong disabilities (6).

Birth trauma attorneys helping children since 1997

Birth trauma is a difficult area of law to pursue due to the complex nature of the medical records. The award-winning attorneys at ABC Law Centers have decades of joint experience with birth trauma, hypoxic-ischemic encephalopathy (HIE), and cerebral palsy cases. To find out if you have a case, contact our firm to speak with one of our lawyers. We have numerous multi-million dollar verdicts and settlements that attest to our success, and no fees are ever paid to our firm until we win your case. We give personal attention to each child and family we help, and are available 24/7 to speak with you.

  • Free Case Review
  • Available 24/7
  • No Fee Unless We Win

Featured Videos

Testimonial from Keziah’s Family

Posterior Position

Hypoxic-Ischemic Encephalopathy (HIE)

quotation mark

Featured Testimonial

What Our
Clients Say…

After the traumatic birth of my son, I was left confused, afraid, and seeking answers. We needed someone we could trust and depend on. ABC Law Centers was just that.

- Michael


Helpful resources

  1. Bronfin, D. R. (2001). Misshapen heads in babies: position or pathology?. The Ochsner Journal, 3(4), 191-199.
  2. Caput succedaneum: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved August 31, 2018, from https://medlineplus.gov/ency/article/001587.htm
  3. (n.d.). Retrieved August 31, 2018, from https://www.uptodate.com/contents/neonatal-birth-injuries#H8
  4. CRNP, L. S. (n.d.). Caput succedaneum: Symptoms, causes, and outlook. Retrieved August 31, 2018, from https://www.medicalnewstoday.com/articles/318918.php
  5. Nicholson, L. (2007, September/October). Caput Succedaneum and Cephalohematoma: The Cs that Leave Bumps on the Head[PDF]. Neonatal Network.
  6. CRNP, L. S. (n.d.). Caput succedaneum: Symptoms, causes, and outlook. Retrieved August 31, 2018, from https://www.medicalnewstoday.com/articles/318918.php
  7. Neonatal Jaundice Treatment & Management: Approach Considerations, Medical Care, Diet. (2018, July 25). Retrieved August 31, 2018, from https://emedicine.medscape.com/article/974786-treatment#d6