Birth Trauma Clinic
Birth Trauma Clinic at Nafaur’s Neurocare
The Birth Trauma Clinic at Nafaur’s Neurocare provides evaluation and follow-up guidance for newborns, infants, and children affected by birth injuries and related neurological conditions.
Birth trauma refers to physical or neurological injuries that occur around the time of delivery. These injuries may affect a baby’s scalp, skull, brain, nerves, spine, or limbs. Some birth injuries are mild and improve with observation. Others may require pediatric neurological assessment, neurosurgical consultation, imaging, or rehabilitation.
Early evaluation helps identify possible complications and plan appropriate care for the baby’s development.
Common Birth Injuries in Newborns
The Birth Trauma Clinic evaluates babies with different birth-related injuries and conditions, including:
- Newborn head injury
- Cephalohematoma
- Subgaleal hematoma
- Birth-related skull fracture
- Neonatal intracranial hemorrhage
- Birth asphyxia-related brain injury
- Neonatal seizures
- Brachial plexus birth injury
- Erb’s palsy and birth palsy
- Facial nerve injury
- Birth-related spinal cord injury
- Developmental delay following birth injury
Each condition needs individual assessment. Not every newborn with a birth injury requires surgery.
Common Causes and Risk Factors
Birth injuries may occur during difficult or complicated delivery. Possible risk factors include:
- Prolonged or difficult labour
- Obstructed labour
- Breech delivery
- Shoulder dystocia
- Assisted delivery using forceps or vacuum
- Premature birth
- Complicated delivery
- Birth-related oxygen deprivation
- Difficult newborn resuscitation
However, birth injuries can occur in different delivery situations. The exact cause and severity need medical assessment.
Warning Signs of Birth Trauma
Parents should seek medical attention if a newborn develops:
- Swelling or bruising on the head
- Rapidly increasing scalp swelling
- Abnormal head shape
- Seizures or unusual movements
- Poor feeding or weak sucking
- Excessive or unusual crying
- Unusual sleepiness or reduced activity
- Weakness or reduced movement of an arm
- Facial weakness
- Abnormal muscle tone
- Breathing difficulties
- Delayed developmental milestones
Seizures, breathing difficulty, rapidly increasing head swelling, poor responsiveness, or severe weakness require urgent medical assessment.
Birth-Related Head and Brain Injuries
Some newborns develop scalp swelling or bleeding following delivery. Cephalohematoma is a collection of blood beneath the covering of the skull bone. Subgaleal hematoma is a more serious form of bleeding that can cause significant blood loss.
Other injuries may involve skull fractures or bleeding inside the skull. Babies with concerning symptoms may need urgent examination and imaging.
Birth asphyxia can also cause brain injury when a baby receives insufficient oxygen around the time of delivery. Some affected babies may develop seizures, abnormal muscle tone, feeding difficulties, or developmental concerns.
Brachial Plexus Birth Injury
Brachial plexus birth injury affects the nerves responsible for movement and sensation in the shoulder, arm, and hand. It may happen during a difficult delivery, particularly when the baby’s shoulder becomes stuck.
Parents may notice that the baby:
- Does not move one arm normally
- Has weakness in the shoulder or elbow
- Has a reduced hand grip
- Holds one arm in an unusual position
- Shows limited movement on one side
Early assessment is important. Treatment may include regular monitoring, physiotherapy, guided exercises, and specialist surgical evaluation in selected cases.
Diagnosis and Assessment
Evaluation begins with the baby’s birth history, symptoms, physical examination, and neurological assessment.
Depending on the suspected injury, investigations may include:
- Cranial ultrasound
- CT scan of the brain
- MRI of the brain
- MRI of the spine
- EEG for suspected seizures
- Additional tests based on clinical findings
Not every baby needs all these investigations. The doctor recommends tests according to the child’s condition.
Birth Trauma Treatment and Care
Treatment depends on the type and severity of the injury.
Some babies need observation and regular follow-up. Others may require hospital-based treatment, medication, neurological monitoring, or pediatric neurosurgical intervention.
Selected conditions may require specialist procedures, particularly when there is a skull fracture, significant intracranial bleeding, hydrocephalus, or spinal injury.
Babies with brachial plexus injury may benefit from physiotherapy and regular assessment of arm movement. Some cases may need further nerve-related surgical evaluation.
Developmental Follow-Up After Birth Injury
Some babies with birth-related brain injury, neonatal seizures, or birth asphyxia may develop delays in movement, communication, or other developmental skills.
Parents may notice:
- Poor head control
- Delayed sitting or walking
- Abnormal muscle stiffness
- Floppy body posture
- Reduced limb movement
- Feeding difficulties
- Speech or communication delay
- Delayed developmental milestones
Regular follow-up helps monitor development and identify concerns. Depending on the child’s needs, physiotherapy, developmental therapy, speech therapy, and rehabilitation support may be recommended.
Birth Trauma Care at Nafaur’s Neurocare
Nafaur’s Neurocare provides pediatric neurological and neurosurgical evaluation for newborns and children with birth trauma, birth injuries, neonatal brain injury, and related developmental concerns.
Dr. Md. Nafaur Rahman provides pediatric neurosurgical consultation for relevant brain, spine, and nerve conditions. The clinic supports clinical assessment, imaging review, treatment discussions, follow-up planning, and rehabilitation guidance when required.
For more information, visit the Birth Trauma Clinic at Nafaur’s Neurocare.
To arrange a consultation, visit the Book an Appointment page.
For additional information about birth injuries in newborns, read this medical review from the American Academy of Pediatrics.