Neonatal birth injuries are injuries to the fetus or newborn caused by mechanical factors during labor and delivery. Technology and medicine are advancing, but labor and delivery have the potential to cause injury to your baby! Moms should be aware of the following! Childbirth has the potential to bring about scalp birth injuries Scalp birth injuries include birth tumors, scalp hematomas, and sub-tendinous hemorrhages. 1, birth tumor: usually occurs in cephalic natural birth, due to trauma to the scalp caused by the superficial parts of the hemorrhagic edema, its location is not limited to a head of the bone within the seam, clinically do not need any treatment, usually 3 days will disappear. Scalp hematoma: the cause is unknown, it occurs more often in forceps delivery of infants, it can occur in any part of the skull, but it is limited to a single bone crevice, and will not exceed the midline of the skull, most of the hematomas will disappear naturally within a few weeks, and a small portion of them will be calcified. Subtendinous hemorrhage: It occurs due to the pressure and drag of the fetal head when it passes through the pelvic cavity. It may be combined with massive hemorrhage resulting in shock and death. There is a fluctuating sensation on palpation, and clinical complications such as massive blood loss and jaundice should be noted. Childbirth may bring about skull fracture Skull fracture includes linear fracture, depression fracture, occipital separation 1. Linear fracture: the most common skull fracture, caused by compression of the skull during labor. Most simple linear fractures are not associated with other injuries, unless they are associated with intracranial hemorrhage. Most simple linear fractures do not require treatment and will heal on their own. 2.Depressed skull fracture: It is caused by the depression of the membranous bone in the head, also known as ping-pong ball fracture. The cause may be due to abnormal birth canal extrusion, improper use of forceps, and head trauma after birth. Treatment is based on conservative observation, vacuum suction, and surgical correction. 3.Occipital bone separation: caused by head trauma, often combined with subdural hematoma of the posterior cerebral fossa and intracranial birth injury. Fractures are divided into: (long bone fracture, clavicle fracture) 1, long bone fracture: mostly occurring in breech birth, two weeks after fixation can be natural healing. 2, clavicle fracture: is the most common, occurs in the head position birth shoulder output difficulties or breech birth, in the clavicle can feel the bone rolling sound, the affected side of the startle reflex disappeared, the treatment of the arm and shoulder fixation, will be automatically healed. Note: After the fracture, in addition to the symptoms of fracture, it can also be seen on the affected side of the limbs to reduce voluntary movement, this situation is easy to be mistaken for paralysis, but it is not due to nerve damage, so it is called pseudo-paralysis. In addition, when changing diapers, putting on and taking off clothes or wiping and bathing a child and moving a limb on one side, there is often a sudden cry for unknown reasons, which is the pain caused by the movement of the fractured end of the fracture. At this time, the affected limb must be exposed and compared with the other side of the limb, often found abnormal. Symptoms of a clavicle fracture are sometimes not obvious. It is not until the fracture has healed and an olive-sized mass appears at the clavicle above the thorax that it is noticed. Parents should not be concerned about this condition, as it is a new bone produced by the healing of the fracture, and even if the fracture breaks are not aligned, or even heals abnormally, it will have very little effect on the future function of the fracture. Don’t worry! Most birth injuries can recover on their own Most birth injuries will recover spontaneously, and only a few will require surgery or regular rehab. Parents should not be too nervous, and believe that by giving physical and psychological support to the baby, and cooperating with the doctor’s instructions, and returning to the doctor’s office on a regular basis to follow up on the injuries, the baby should have a good recovery, and the parents do not need to worry too much about this, and should cooperate with the obstetrician and gynecologist in regular checkups and deciding on an appropriate mode of delivery. The incidence of birth injuries can be minimized. Will labor analgesia harm the fetus? Will labor analgesia hurt the baby? This is a common concern for many women in labor. The implementation of labor analgesia is based on the highest principle of maintaining the safety of the mother and the fetus. Since the concentration and dosage of the drugs used for labor analgesia are much lower than that of anesthesia for cesarean section (the amount of anesthesia used for cesarean section is not harmful to the baby), and the amount of the drugs that are absorbed by the placenta are minimal, there is not much effect on the fetus. In addition, before the implementation of labor analgesia, the doctor will carefully examine the mother to determine whether she is suitable for labor analgesia. For women who are suitable for labor analgesia, they will be operated by professional anesthesiologists, and the possibility of damage to the nerves of the crural spine is extremely low. Whether or not a cesarean section is needed during labor depends on the condition of the mother and the baby. Of course, there is also a chance of a cesarean section during normal labor. It should be noted that the main function of labor analgesia is to reduce the pain of natural childbirth and to reduce the adverse physiological effects of pain. At the same time labor analgesia can also reduce the chance of cesarean section. If labor pains are relieved, the conscious mother’s full participation in the labor process and the pleasure brought by the obvious relief of pain during labor are prerequisites for a successful delivery. In the event that a cesarean section is required, a catheter has been placed in the epidural cavity and local anesthetics can be injected immediately, shortening the anesthesia preparation time for the cesarean section. The analgesic pumps and fluids originally used for labor analgesia can be continued to be used for postoperative analgesia, which reduces the cost of the cesarean section anesthesia and postoperative analgesia.