A factor of outstanding significance in intranatal and neonatal mortality and infant morbidity is the traumatization of the child incident to birth. An increasing appreciation of this source of loss in infants' lives during or soon after delivery is unmistakably expressed in the gradual and steady increase in the number of death certificates that give birth injury as the cause of death. Even so, official vital statistics are still far from disclosing actual conditions. This particular cause of death of the new-born infant only rarely manifests itself conclusively in symptoms and clinical findings, and in the majority of instances can be discovered only by means of an exhaustive postmortem study that includes inspection of the dura folds within the cranium, sectioning of the vertebral column (especially of its cervical portion), and inspection of all abdominal parenchymatous organs with particular attention to the suprarenal glands.
Routine use of this type of
EHRENFEST H. THE RELATION OF BIRTH TRAUMA TO NEONATAL MORTALITY AND INFANT MORBIDITY. Am J Dis Child. 1932;43(2):426-430. doi:10.1001/archpedi.1932.01950020158017