P15: Other birth injuries

P15.6: Subcutaneous fat necrosis due to birth injury

There is fatty tissue beneath the skin in many places in the body. It acts as an energy store and insulation, for example.

The fatty tissue beneath the child’s skin can get damaged during the birth if the blood supply is insufficient so that it does not get enough oxygen. This can happen due to a lot of pressure on the fatty tissue or to the child being poorly supplied with oxygen, for example. There is pressure, for example, during a vaginal birth. This pressure is necessary for the child to be born through the vagina. There is also pressure on the child when a forceps is used.

If the fatty tissue is damaged, parts of the fatty tissue can die off. A few days after the birth calluses can then form and be felt beneath the skin. In the places affected the skin will be brownish or blue-red.