Cerebral palsy (CP) lawsuits frequently target top hospital systems, often because these institutions are where complex pregnancies and deliveries occur, and where alleged medical negligence can have profound consequences. These lawsuits arise primarily from claims of medical malpractice during pregnancy, labor, or delivery that result in brain injuries causing cerebral palsy. The stakes are high, as CP is a lifelong condition requiring extensive medical care, therapy, and support, often costing over $1 million in lifetime healthcare expenses per individual, according to the Centers for Disease Control and Prevention (CDC)[3].
Hospitals, especially large and well-known systems, are common defendants in cerebral palsy lawsuits because they employ the obstetricians, nurses, midwives, and other healthcare providers involved in childbirth. When medical errors occur—such as failure to respond to fetal distress, improper use of labor-inducing drugs like Pitocin, delayed cesarean sections, or failure to detect complications like uterine rupture—families seek legal recourse against these institutions for accountability and compensation[1][4][5].
Several recent high-profile cases illustrate this trend. For example, a Philadelphia jury awarded over $180 million to a child with cerebral palsy due to birth injury at the Hospital of the University of Pennsylvania, one of the nation’s top hospital systems. This verdict is reportedly the largest medical malpractice award in Pennsylvania history and has raised concerns among healthcare leaders about the impact of such large liability cases on hospital sustainability and patient care access[2]. Similarly, a Missouri family won a $48.1 million verdict after hospital staff allowed prolonged labor despite signs of fetal distress, leading to permanent brain damage and CP[1][4].
The legal landscape shows that in nearly 9 out of 10 cerebral palsy cases, courts find that medical mistakes contributed to the injury. These mistakes often involve multiple providers and complex care decisions, which are more common in large hospital settings handling high-risk deliveries[3]. Hospitals are held vicariously liable for the actions of their staff, meaning they can be responsible for negligence even if the hospital itself did not directly commit the error. This legal principle explains why top hospital systems are frequent targets in CP lawsuits[2].
Financially, cerebral palsy lawsuits can result in multi-million-dollar settlements or verdicts, reflecting the lifelong costs of care and the severity of the injuries. Awards have ranged from $5 million to nearly $1 billion in some cases, underscoring the enormous financial and emotional toll on families and the healthcare system[4][5]. These settlements help families cover ongoing medical expenses, therapies, assistive devices, and other needs that arise from CP.
The involvement of top hospital systems in these lawsuits also reflects the complexity of modern obstetric care. Large hospitals often serve as referral centers for high-risk pregnancies, where complications are more likely. While these hospitals have advanced resources and specialists, the complexity of cases can increase the risk of adverse outcomes and potential medical errors[1][3].
In response to the rising number and size of cerebral palsy lawsuits, some hospital systems and healthcare leaders have expressed concern about the broader implications. They warn that exorbitant verdicts and expanded liability standards could threaten the financial viability of hospitals, potentially limiting access to care and innovation in maternal-fetal medicine[2]. This tension highlights the challenge of balancing accountability for medical negligence with the sustainability of healthcare institutions.
In summary, cerebral palsy lawsuits do often target top hospital systems because these institutions are central to childbirth car





