On the origin of cephalhaematomatis externi

Abstract

The reason for the formation of an external blood tumor is mechanical damage to the head during childbirth. These injuries often occur when high forceps are applied, when, after bringing the head into the pelvic cavity, the forceps spoons are moved from the transverse to the oblique size of the pelvis. Under these conditions, the soft parts of the head and pericranium are easily kneaded, and the result is cephalhaematoma. To avoid this, the author does not move the forceps spoons, but, after bringing the head down into the small basin, removes the forceps, and then applies them again in the required oblique size. Difficulty in the introduction of the front spoon is easily eliminated if the spoon is inserted with the handle strongly lowered.

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