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Common types of birth injuries to the baby

Most birth injuries are minor and heal with time. But expecting parents are often unaware that babies can also get birth injuries in the birthing process. They occur due to natural forces of labour and delivery. The common birth injuries to watch for are:

Minor injuries

  • Scalp Swelling (Caput Succedaneum): Caused by pressure during delivery, this soft swelling or bulge on the scalp usually resolves within a few days and requires no treatment.
  • Bruising (Cephalohematoma): Similar to caput succedaneum, it involves bleeding between the scalp and skull bone. It disappears on its own within weeks.
  • Facial Paralysis: Temporary weakness or paralysis of facial muscles due to pressure on the facial nerve. Usually recovers completely within a few months.
  • Clavicle Fracture: The most common bone fracture in newborns, often caused during shoulder delivery. Healing happens naturally and support might be provided for comfort.
  • Shoulder Dystocia: Shoulder dystocia happens when the baby's shoulders become stuck behind the mother's pubic bone during delivery. This can result in brachial plexus injuries, such as Erb's palsy or Klumpke's palsy, affecting the movement and sensation in the baby's arm or hand.
  • Subconjuctival Haemorrhage: In this case, the small blood vessels in the baby's eyes can get ruptured. This may cause red bands in the white part of one or both the eyes. This is usually not very serious and gets absorbed in 7–10 days.
  • Fractures: Newborns can also have fractures in the upper arm bone and the upper leg bone. They experience pain in the first few days but with medical attention, the fractures can heal well.

Serious injuries

  • Brachial Plexus Injury (Erb's Palsy): Damage to nerves in the shoulder and arm, affecting movement. Physiotherapy is often helpful but some cases may require surgery.
  • Hypoxic-Ischemic Encephalopathy (HIE): Oxygen deprivation during birth can lead to brain injury. Severity varies and treatment depends on the extent of damage.
  • Intracranial Haemorrhage (Bleeding in the Brain): Bleeding within the skull can cause serious complications. Early diagnosis and intervention are crucial.
  • Spinal Cord Injuries: Rare but serious, these can impact movement, sensation and bowel/bladder control. Treatment depends on the type and severity of the injury.

How to know if something is wrong with your newborn?

Usually a medical professional will check for all injuries in your baby. Still, you should immediately seek attention in case of the following symptoms:

  • Unusual head shape or swelling that persists
  • Seizures or tremors
  • Feeding difficulties
  • Weakness or paralysis in limbs
  • Poor muscle tone
  • Excessive crying

Reducing the risk factors

  • Regular prenatal care helps identify potential risks and ensure a healthy pregnancy.
  • Discuss delivery options with your healthcare provider and choose what's safest for you and your baby.
  • Maintaining a healthy lifestyle during pregnancy is crucial.

Most birth injuries are minor and resolve on their own. However, being aware of the possibilities and seeking timely medical help can make a significant difference to your baby's overall wellbeing.

Sources:
Stanford Medicine
MSD Manual
Medical News Today