| A) Birth Injury Group (n = 7) |
| Male term, hypertrophic, delayed vaginal delivery, 1st DOL Incident: manual extraction on his arm Diagnosis:right humerus shaft fracture (Figure 1a)Therapy: reduction, splinting . |
| Female term, shoulder presentation, 2nd DOL Incident: manual extraction on her arm Diagnosis: slipped left distal humerusepiphysiolysis, slight plexus palsy (Figure 1b) Therapy: closed reduction, POP splinting, physiotherapy. |
| Male term, C/S, 2nd DOL Incident:manual extraction/forceps Diagnosis:biparietal skull fracture, major ICB, (cephal hematoma)Therapy: neuro-monitoring
Male term, delayed vaginal delivery, 1st DOL Incident:forceps extraction Diagnosis:biparietal skull fracture, minor ICB, severe fits, (cephalhematoma) (Figure 1c) Therapy:neuromonitoring |
| Male preterm, delayed vaginal delivery, 3rd DOL Incident: forced manual extraction Diagnosis: left femur shaft fracture, (ARDS/lung immaturity) (Figure 1d) Therapy: closed reduction, POP splinting |
| Female term, C/S, 3rd DOL Incident:forced manual extraction Diagnosis: left adrenal gland hemorrhage, (asphyxia) (Figure 2a) Therapy: monitoring, conservative. |
| Male term, delayed vaginal delivery, 1st DOL Incident: small bowel surface tearing Diagnosis: mass haemorrhage, Vit K deficiency, (gastroschisis) (Figure 2b)Therapy: emergency surgery |
| B) NEONATAL CARE INJURY GROUP (n = 11) |
| Female term, NICU, 1st WOL Incident: nasal probe replacement Diagnosis:(artificial) gastric perforation, (nasal probe feeding) (Figure 2c)Therapy: open surgical repair. |
| Male preterm, NICU, 1st WOL Incident: umbilical cord bleeding Diagnosis: perumbilical bleeding postoperative, Vit K deficiency, (gastroschisis) (Figure 2d) Therapy: CPR, revision surgery. |
| Female term, NHC, 1st WOL Incident: traditional healer herbs Diagnosis: caustic soft tissue lesions both heels, (bilateral wounded heels) (Figure 3a)Therapy: normal saline dressing |
| Female term, NHC, 2nd WOL Incident: hormone-induced hair loss of the mother Diagnosis: hair-thread-toe-tourniquet-syndrome,(strangulated left little toe) (Figure 3a (inlay))Therapy: surgical removal. |
| Female preterm, NICU, 3rd WOL Incident: tissueing sodium bicarbonate drip Diagnosis: paravasateleft ankle, (small bowel perforations revision surgery) (Figure 3b)Therapy: Low Level Laser treatment, alginate dressing. |
| Male preterm, NICU, 3rd WOL Incident: tight oxygen saturation monitor clip Diagnosis:pressure-induced subtotal pulp amputation left little finger, (prematurity) (Figure 3c)Therapy: removal of the clip, hydrocolloid (foil) dressing. |
| Male term, NHC, 3rd WOL Incident: (repetitive)blood gas and electrolytes disturbance, catabolismn Diagnosis: marasmus, cachexia, (pspseudohyper-aldosteronism),(st p surgery for pyloric atresia) Therapy: rebalance, to coddle up. |
| Male preterm, NICU, 1st WOL Incident: iv line attempt during NEC surgery Diagnosis: right distal radius fracture, (NEC, ARDS/lung immaturity) Therapy:closed reduction, POP splinting |
| Female preterm, NICU, 1st WOL Incident: iaacess attempt Diagnosis: vascular catastrophe right hand and elbow, (left tibia/ankle), (misdiagnosed phlegmone !), (asphyxia, post CPR) (Figure 3d)Therapy: right hand amputation. |
| Female preterm, NICU, 1st WOL Incident: umbilical cord catheterization Diagnosis: vascular catastrophe right leg-arterial embolism-, (ARDS/lung immaturity, lobular emphysema) (Figure 3e) Therapy: catheter removal, heparine, hemipelvectomy. |
| Female term, NICU, 3rd WOL Incident: wet cautery neutral electrode Diagnosis: electrical current burn anterior chest, coccygeal teratoma Therapy: sulfadiazine silver crème dressing. |
|