B irth injuries or birth trauma is defined as impairment or injury suffered by the neonate during delivery or during the entire birth process [1]. The predisposing risk factors for birth injuries can be classified into maternal, fetal, or birth attendants associated. The common risk factors of birth injuries are usually identified early in pregnancy or at an early stage of labor by trained health professionals, however, either due to lack of experience or poor facility setting, newborn incur a severe form of birth injury. The common risk factors for birth injuries are lack of supervision of pregnancy, maternal medical conditions, difficult labor, short or prolonged labor, obstructed labor, higher birth weight >4000 g, instrumental delivery, malpresentation, and maternal age <16 years or >35 years [2-5]. Injury may occur during labor, delivery, or after delivery, especially in neonates who require resuscitation in the delivery room. It can occur during both vaginal and cesarean deliveries [6]. Varied incidence has been reported in literature. It may be associated with increased morbidity and mortality [7]. There is a wide spectrum of birth injuries ranging from minor and self-limited problems (e.g., laceration or bruising) to severe injuries that may ABSTRACT Background: Neonatal birth injuries are the third major cause of neonatal mortality in most developing countries. Very few studies have been done in India on birth injuries and its relation to various factors such as undesirable presentations and parity. Aim: The present study was conducted to analyze the birth injuries in our setup to know the various perinatal circumstances leading to birth injuries. Materials and Methods: An observational study was done in which 100 cases of birth trauma were noticed among 850 consecutive viable births during the study period of 2 years. Details of the health status of the mother, antenatal, intra-natal, and postnatal particulars, including the age, sex, weight, mode of delivery, type of presentation, and nature of the birth injury in different modes of delivery and type of presentation of the baby were taken. Results: It was found that of 850 newborn babies, 100 babies were found to have birth injuries, thus giving an incidence of 11.76% per 100 live births. Asphyxia formed the major groups which were noted in 45 babies. Cephalohematoma was the next common injury being noted in 32 cases. A total of 18 babies had soft tissue injuries and 4 babies had neurological injuries. Conclusion: Our findings support to use data on neonatal birth injuries as an indicator to assess the quality and safety of maternity units.