Feature ArticleClassification of Major Newborn Birth InjuriesPressler, Jana L. PhD, RN Author Information The University of Oklahoma College of Nursing, Oklahoma City. Corresponding Author: Jana L. Pressler, PhD, RN, 1100 N, Stonewall Avenue Oklahoma City, OK 73117 ([email protected]). Submitted for publication: September 6, 2007 Accepted for publication: November 19, 2007 The Journal of Perinatal & Neonatal Nursing: January 2008 - Volume 22 - Issue 1 - p 60-67 doi: 10.1097/01.JPN.0000311876.38452.fd Buy Metrics Abstract A classification system of various forms of major newborn birth injuries is clearly lacking in the literature. Currently, no scales exist for distinguishing degrees, extent, or distinctions of major birth injuries. The purpose of this study was to use published and online literature to explore the timing, prediction, and outcomes of major newborn birth injuries. Potential antecedents and causes were used in depicting what were reported to be major birth injuries. The outcome of this literature search was the development of a classification table synthesizing the most frequently reported (n = 20) major newborn birth injuries. This classification was developed according to (1) types of tissue involved in the primary injury, (2) how and when the injury occurred, and (3) the relationship of the injury to birth outcomes. A classification scheme is critically needed as the first step to achieving preventive interventions and plans for long-term recovery from birth injuries. Because major birth trauma contributes to increased neonatal morbidity and mortality, its occurrence requires careful study and preventive efforts to better promote newborn health. © 2008 Lippincott Williams & Wilkins, Inc.