The main concern of this chapter presents the birth trauma. The incidence of birth-related bone injuries is 1:1000 live births. The most common sites for fracture in order of decreasing frequency are a clavicle, humerus, femur and depressed skull fractures. Obstetric palsy, spinal cord injury, muscle injury in breech delivery, blunt abdominal trauma with hemorrhage due to hepatic rupture and soft tissue injuries are other types of injuries included in birth trauma. Subgaleal hematoma, fractures, spinal injuries in the neonate and supportive therapy are also discussed in this chapter. A subgaleal hematoma is bleeding in the potential space between the vault periosteum and the galea aponeurosis of the scalp. Clavicle, humerus, elbow, proximal femur fracture, fracture of the shaft, fracture of the distal epiphysis, fracture of femoral shaft and fracture distal epiphysis are the fractures of the birth trauma. Spinal Injuries in the Neonate Cervical and the flying fetus syndrome are the spinal injuries in the neonate.