The issue of so called "birth trauma" and its potential association with neonatal brain injury is incompletely explored in the literature but of interest to parents, obstetricians, pediatricians, neonatologists, child neurologists, and lawyers. The study presented by Dunbar et al.¹ in this issue of Neurology® provides a method to address the potential relationship or causal association of external forces on the neonatal head during the birth process, so called "birth trauma," with the development of neonatal brain injury. This is an important study because currently there is no rigorous evidence using quantitative measures in the literature that substantially addresses this question. In the rare cases in which a newborn develops signs of brain injury shortly after birth, there may be parental distress and psychological trauma around the birthing process that can be further amplified by a difficult delivery and/or the presence of significant molding and caput succedaneum (scalp swelling). Birthing persons, parents, and family members may incorrectly conclude that the same mechanisms that lead to the development of scalp swelling equate to "birth trauma," and may increase the risk of or directly cause brain injury.

文献中尚未完全探讨所谓的“产伤”问题及其与新生儿脑损伤的潜在关联，但家长、产科医生、儿科医生、新生儿科医生、儿童神经科医生和律师对此很感兴趣。邓巴等人提出的研究。本期Neurology®中的^{第 1}期提供了一种方法来解决出生过程中新生儿头部受到的外力（所谓的“产伤”）与新生儿脑损伤的发生之间的潜在关系或因果关系。这是一项重要的研究，因为目前文献中没有使用定量测量的严格证据来实质性解决这个问题。在极少数情况下，新生儿在出生后不久就出现脑损伤的迹象，在分娩过程中可能会出现父母的痛苦和心理创伤，这些痛苦和心理创伤可能会因分娩困难和/或出现明显的成型和替代头而进一步加剧。头皮肿胀）。分娩者、父母和家庭成员可能会错误地认为导致头皮肿胀的机制等同于“产伤”，并且可能会增加脑损伤的风险或直接导致脑损伤。