Ruptured Neonatal Subgaleal Haemorrhage: Challenges of Management from a Resource Limited Setting

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.