(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: The mother’s pregnancy never entered labor. Although the newborn had a mild fracture of the left clavicle, no special treatment was needed because the newborn recovered quickly. [Basic information] Female, 32 years old [Disease type] Mild fracture of left clavicle in newborn [Hospital] Jiangbin Hospital of Guangxi Zhuang Autonomous Region [Consultation time] December 2019 [Treatment plan] Intravenous injection (indocin injection) + perineal lateral incision + flexion thigh method + suprapubic compression method + neonatal resuscitation resuscitation [Treatment cycle] Hospitalization for 5 days [Treatment effect] Helped deliver the fetus in time after delivery The woman had one abortion in the past and delivered one child at 40 weeks of gestation in 2015, which went smoothly. Her last menstrual period was on March 14, 2019, and she had a positive urine HCG test for more than 1 month after menopause, and she went to the hospital for ultrasound indicating early intrauterine pregnancy. She started to feel fetal movement at 19 weeks of gestation, and her labor and delivery went smoothly, with no significant abnormalities in Down screening, systemic ultrasound and glucose tolerance test. The fetal movement was normal in late pregnancy, and mild edema of both lower limbs appeared, blood pressure and urine routine were normal. The doctor described the condition with the mother, who was a transwoman and no abnormality was seen in the birth canal, and suggested intravenous injection of contractin to induce labor. At 1:00 on December 26, the labor progressed smoothly, and at 5:40, the opening of the uterus was complete and the fetal head was +1. The doctor put downward pressure on the fetal front shoulder above the pubic symphysis, and the midwife cooperated with the downward pressure on the fetal head and neck, then the fetal left front shoulder passed the pubic symphysis and the fetus was delivered. The fetus weighed 3960g and had an Apgar score of 6 at 1 minute, and was resuscitated with sputum and oxygen, 8 at 5 minutes and 10 at 10 minutes. The doctor described the condition to the mother and told her that the newborn had a mild fracture of the left clavicle due to an assisted birth injury during the difficult shoulder delivery. The mother recovered well after delivery and was discharged after 5 days of hospitalization, and was asked to come to the hospital for review 42 days after delivery. We are glad that the fetus was delivered in time after timely treatment, and resuscitation was performed after delivery to save the life of the newborn. It is recommended to review the orthopantomogram of the newborn’s left clavicle after 1 month. For mothers with large fetus and difficult shoulder delivery, it is easy to have pelvic and perineal pain after delivery, so pay attention to rest, do not move too much too early, and go to the hospital rehabilitation department for pelvic repositioning treatment if necessary. It is recommended that mothers go to the outpatient clinic 42 days after delivery to assess pelvic floor function and perform pelvic floor rehabilitation therapy to avoid premature leakage and pelvic floor organ prolapse. Breastfeeding is also recommended to promote the growth and development of the newborn. The mother should pay attention to calcium supplementation, which will help the newborn to replenish calcium and help the clavicle to recover as soon as possible. V. Personal insight Pregnant women should pay attention to control the diet and blood sugar situation during pregnancy to avoid excessive fetal size, when the larger the fetus is, the more likely it is to have a difficult delivery and birth injury. When there is a difficult shoulder delivery, fetal suction, forceps assisted delivery, check the condition of the newborn to avoid complications such as clavicle fracture and brachial plexus nerve injury, early examination and discovery of abnormalities can be dealt with early, newborns generally recover quickly, for mild injuries often do not require special treatment, given good care, can quickly heal on their own.