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Abstract Background: Medical personnel frequently encounter birth injuries, and it is crucial that they can identify and manage these injuries while providing parents with prognosis counseling. In some cases, management requires only observation and follow-up, but in others, immediate intervention and collaboration among the multi-professional team are necessary. Nurses play a critical role in healthcare and are particularly important in the identification and prevention of risk factors related to birth injuries. The aim of this study is to assess birth injury at University Obstetrics and Gynecology Hospital “Queen Geraldine”, Tirana, Albania. Methods: Our study is retrospective with two components descriptive about literature and analytic about the data that we gathered in maternity. Result: The study includes 3889 births, 38.77% were delivered by Caesarean section, specifically in cases of pre-eclampsia, diabetes, maternal care for other conditions during pregnancy (22.50%), premature rupture of membranes, placenta previa, abruptio placentae, extended labor, premature birth, disproportion, and fetopelvic unspecified. The remaining 61.23% of births were vaginal deliveries. 56.03% were primiparous, 46.38% of women came from Tirana, and the most frequent age range was 25-34 years old. Conclusion: Providing healthcare professionals with the necessary resources and support to effectively manage birth injuries is crucial in improving neonatal and maternal outcomes. This includes access to evidence-based protocols, adequate staffing, ongoing education and training, and appropriate equipment and technology.