Question

How should liability be determined in cases of neonatal birth injuries, especially scalp hematoma? What nursing measures should be taken for infants with scalp hematoma?

Answer

The attribution of liability for neonatal birth injuries is not clearly defined. Birth injuries generally refer to injuries to the fetus or newborn caused by mechanical factors during the birthing process. In recent years, with the enhancement of prenatal examinations and the advancement of birthing technology, the incidence of maternal injuries has significantly decreased, but it remains one of the factors causing child death and long-term disability, particularly in primary healthcare institutions. Clavicle fracture is the most common birth injury-related fracture, and its occurrence is related to the mode of delivery, fetal position, and birth weight. For scalp hematoma caused by birth injuries, the following nursing measures should be taken:

  1. Maintain cleanliness and dryness of the scalp to prevent infection.
  2. Avoid applying pressure or friction to the hematoma area.
  3. Regularly observe the hematoma