Can traumatic birth cause cerebral palsy?

Can a traumatic birth cause cerebral palsy? Yes, certain complications during labor and delivery, like oxygen deprivation or physical trauma to the baby’s head, can damage the brain and lead to cerebral palsy, though it is not the only cause.

Cerebral palsy, often called CP, is a group of disorders that affect a person’s ability to move and keep their balance. It happens because of damage to the developing brain, usually before, during, or shortly after birth. The brain damage disrupts signals that control muscles, leading to issues like stiff muscles, shaky movements, or trouble with coordination.

Not every case of CP comes from a traumatic birth. Many factors can play a role, such as gene changes, infections in the mother during pregnancy, bleeding in the baby’s brain while still in the womb, or even injuries after birth from falls or accidents. Premature babies face a higher risk, with studies showing over half of children with CP were born early, especially before 28 weeks.

During birth, trauma can occur in several ways that harm the brain. One common problem is birth asphyxia, where the baby does not get enough oxygen to the brain for too long. This can happen from a tangled umbilical cord, placental abruption where the placenta pulls away from the uterus too soon, or placental insufficiency in overdue pregnancies. Without oxygen, brain cells start to die quickly, often leading to a condition called hypoxic ischemic encephalopathy, which frequently results in CP later on.

Other birth traumas include improper use of tools like forceps or vacuum extractors, which might cause bleeding in the brain or direct injury. Delayed medical actions, such as not doing a C-section fast enough when the baby shows distress, or missing signs of infection, can also contribute. For premature infants, periventricular leukomalacia is a specific brain injury where soft spots form and harden into scars, affecting movement and learning.

Signs of these issues might not show right away. Babies could seem too stiff, called hypertonia, or too floppy, called hypotonia, months later. Doctors use scans like MRI or CT to check for brain damage linked to birth events.

Early care matters a lot. Treatments like cooling the baby’s brain soon after oxygen loss, or therapies for movement and speech, can help improve outcomes.

Sources:
https://www.bila.ca/birth-injuries/cerebral-palsy/types/
https://www.nationalbirthinjurylaw.com/what-causes-cerebral-palsy
https://www.sokolovelaw.com/birth-injuries/causes/
https://www.cerebralpalsyguide.com/legal/cerebral-palsy-lawsuit/california/
https://nybirthinjury.com/birth-trauma-impact-on-family/
https://pediatricmalpracticeguide.com/steps-to-take-if-a-birth-injury-was-discovered-months-later/
https://www.dignityhealth.org/socal/services/baby-and-family/fetal-conditions/cerebral-palsy
https://www.childbirthinjuries.com