Early recognition and management of fetal head trauma with massive subgaleal hemorrhage

Non-obstetrical fetal head injury is an unusual clinical event. While multiple case reports describe motor vehicle collisions resulting in intrauterine fetal skull fractures, management of these injuries has not been emphasized. We report a case of a depressed fetal skull fracture with massive subgaleal and subperiosteal hemorrhage requiring neurosurgical intervention with good clinical outcomes for both mother and infant dyad.

*Corresponding Author: 

Maushumi Assad, MD, MPH, Division of Newborn Medicine, Boston Children’s Hospital, USA. Tel.: +1 860 545 9720; E-mail: Maushumi.assad@childrens.harvard.edu.