This 1 d/o female newborn was born to a healthy mother by normal spontaneous delivery with delayed secondary stage today in our DR. After birth, she presented good activity, loudly crying, heart rate of >100 beats/min, and no peripheral cyanosis was noted. The APGAR score was 8 and 9 at 1 min and 5 min respectively.

Physical examination revealed a 3 x 4 cm cephalohematoma over left parietal region. Coarse breathing sounds and regular heart beat without murmur was heard. Because cloudiness of amniotic fluid was noted, perinatal infection should be considered and thus, she was admitted for further evaluation and management Birth injuries

The forces of labor and delivery occasionally cause physical injury to the infant. The incidence of neonatal injury from difficult or traumatic deliveries is decreasing due to increasing use of cesarean section in place of difficult versions, vacuum extractions, or mid- or high-forceps deliveries. The most common intracranial injury was subdural hemorrhage (73%), followed by subarachnoid (20%) and intracerebral (20%) hemorrhage; intraventricular hemorrhage and skull fracture were less common, each occurring in only 5%. Cephalohematomas were prevent in 24%.