# Can Traumatic Labor Cause Cerebral Palsy Disability?
Cerebral palsy is a group of conditions that affect movement and posture, caused by damage to the developing brain. While many people assume that cerebral palsy results from problems during labor and delivery, the reality is more complex. Research shows that only about 14.5% of cerebral palsy cases are associated with events during childbirth, while 85-90% of cases are congenital, meaning the brain damage occurred during pregnancy or early development.
That said, traumatic labor can contribute to cerebral palsy in some cases. When a baby experiences severe oxygen deprivation during delivery, this can cause brain damage that leads to cerebral palsy. Oxygen deprivation, also called hypoxia, is particularly dangerous because it compromises the integrity of the brain’s delicate blood vessels, making them prone to rupture and bleed. This type of brain bleeding, called intracranial hemorrhage, can result in permanent neurological damage.
Physical trauma during delivery is another way that labor complications can cause cerebral palsy. Excessive force used during delivery, improper use of delivery instruments like forceps, or rough handling during difficult deliveries like shoulder dystocia can cause severe intracranial bleeding. In shoulder dystocia cases, where a baby’s shoulder becomes stuck during delivery, excessive pulling, twisting, or rotating of the baby’s head and neck can create extreme forces that lead to brain bleeding and injury.
Medical negligence during labor can increase the risk of traumatic injury. Common examples include failure to detect fetal distress, delayed cesarean sections when they were needed, failure to respond appropriately to labor complications, improper use of delivery instruments, and inadequate monitoring of the mother or baby. When healthcare providers fail to take appropriate action in response to warning signs, the baby may experience prolonged oxygen deprivation or physical trauma that causes brain damage.
One documented case illustrates how labor trauma can cause cerebral palsy. A mother was not informed of risks associated with vaginal delivery and proceeded with a vaginal birth. During delivery, she experienced shoulder dystocia, and it took the doctor 12 minutes to deliver the baby. During this time, the baby was deprived of oxygen and suffered permanent brain damage, resulting in a cerebral palsy diagnosis along with nerve damage causing Erb’s Palsy.
However, it is important to understand that cerebral palsy is rarely caused by a single, simple factor. Research using MRI scans has shown that genetic factors, environmental factors, and combinations of the two can all contribute to cerebral palsy. About one quarter of all children with cerebral palsy have genetic factors involved. Some children show no obvious brain injuries on MRI scans, suggesting purely genetic causes, while others show various patterns of brain damage that may involve both genetic and environmental factors.
The causes of cerebral palsy that occur during pregnancy or early development include maternal infections such as cytomegalovirus, rubella, herpes, syphilis, toxoplasmosis, and Zika virus. Gene changes that cause differences in brain development can also lead to cerebral palsy. Strokes that interrupt blood supply to the fetus, bleeding into the brain before birth, and infant infections that cause swelling in or around the brain are additional prenatal and early postnatal causes.
When establishing whether traumatic labor caused cerebral palsy in a specific case, medical professionals and legal experts must carefully examine the evidence. The challenge is that experts often cannot pinpoint the exact moment when brain damage occurred or determine with precision which factor caused the injury. In some cases, multiple factors may have contributed to the brain damage, and the injury may have resulted from a combination of events rather than a single cause.
If you believe that medical negligence during labor contributed to your child’s cerebral palsy, it is important to consult with medical and legal professionals who can review the medical records and determine whether proper care standards were followed. While traumatic labor can cause cerebral palsy in some cases, proving that negligence caused the injury requires careful analysis of the medical evidence and expert testimony.
Sources
https://www.bila.ca/does-aspirin-use-during-pregnancy-increase-the-risk-of-cerebral-palsy/
https://prosperlaw.com/medical-malpractice-childbirth/
https://powlesslaw.com/newborn-brain-bleeds-ich-causes-symptoms-and-malpractice/
https://www.grossmanjustice.com/new-jersey-cerebral-palsy-lawyer/
https://fosters-solicitors.co.uk/insight/cerebral-palsy-medical-negligence
https://www.rwkgoodman.com/injury/birth-injury-claims/cerebral-palsy-claims/