Can epidural mistakes during labor cause cerebral palsy?

Can epidural mistakes during labor cause cerebral palsy? Yes, mistakes with epidurals can sometimes lead to cerebral palsy in babies, but it happens indirectly through problems like oxygen loss to the baby.

Epidurals are shots given in the lower back to numb pain during labor. Doctors insert a needle into the space around the spinal cord to deliver medicine. When done right, they help moms push through delivery. But errors can cause big issues.

One common mistake is giving the wrong dose or type of medicine. This can make the mom’s blood pressure drop fast. Low blood pressure slows blood flow to the placenta, starving the baby of oxygen. Without enough oxygen, the baby’s brain can get damaged, leading to cerebral palsy. Cerebral palsy affects muscle control and movement, often with seizures or learning problems.

Another error is placing the needle wrong. If it punctures the spinal sac or hits a nerve, the mom might feel weak or numb in her legs. This can slow labor or make pushing hard. Prolonged labor raises risks like fetal distress, where the baby’s heart rate drops. Again, this cuts oxygen to the brain and can cause cerebral palsy.

Poor monitoring adds danger. If staff miss signs of mom distress, like nausea, low heart rate, or breathing trouble, the baby suffers too. Babies may show fetal lethargy, abnormal heart rates, or poor muscle tone from these issues. In worst cases, brain injury or even death follows.

Not all cerebral palsy links directly to epidurals. Many cases come from other birth problems like prolonged labor or tool use. But when anesthesia goes wrong, it can trigger oxygen deprivation or distress that harms the brain.

Moms facing epidural issues might get fever, seizures, or paralysis. Quick action, like switching to a C-section, can help. Always watch for baby distress signs during labor.

Sources:
https://www.childbirthinjuries.com/blog/prolonged-labor-effects-on-baby-complications/
https://www.brewsterlaw.com/medical-malpractice/birth-injuries/
https://www.lblaw.co.uk/medical-negligence/birth-injury/childbirth-anaesthesia-claims/
https://powlesslaw.com/newborn-brain-bleeds-ich-causes-symptoms-and-malpractice/
https://www.birthinjurylawalliance.com/chicago-birth-injuries-attorneys
https://cerebralpalsyguidance.com/2025/12/12/researchers-use-mri-to-diagnose-find-causes-of-cerebral-palsy-in-children/