Does forceps delivery increase cerebral palsy rates?

Forceps delivery can raise the risk of brain injuries that sometimes lead to cerebral palsy, but it does not always cause it and often relates more to the underlying birth problems that made forceps necessary.

Forceps are metal tools doctors use to guide a baby out during vaginal birth when labor stalls or the baby needs quick help. They cup the baby’s head to pull gently while the mother pushes. This method saves lives in emergencies, but the pressure on the skull can harm delicate brain tissues.

Studies show forceps deliveries boost the chance of intracranial hemorrhages, or small brain bleeds. One report notes this risk jumps 16.4 times higher than in natural births without tools. These bleeds might not show up right away but can later cause issues like developmental delays or motor problems. In tough cases, such injuries lead to cerebral palsy, a lifelong condition that affects movement, balance, and muscle control.

Cerebral palsy comes from brain damage around birth time, often from lack of oxygen or bleeding. Premature babies face the highest odds, with up to 15 percent of those born between 24 and 27 weeks affected. Forceps add risk if misused, like pulling too hard or on a high head in the birth canal, which can fracture the skull or cause nerve damage.

Still, most babies from forceps births do fine long-term. Experts point out that cerebral palsy links more to why forceps were needed, such as fetal distress or low oxygen, than the tool itself. Vacuum deliveries, a similar aid, carry parallel risks but usually less harm to the mother. Both methods work best after full cervical dilation and with the baby in the right position.

Doctors avoid forceps when possible, like in premature births under 34 weeks or with face presentations. Failed tries with vacuum or forceps together heighten dangers. Proper use follows strict rules to cut injury odds.

Signs of forceps-related issues might appear later, like clumsy walking, speech delays, or focus troubles in childhood. Early care, such as brain cooling for at-risk newborns, helps prevent worse outcomes.

Sources
https://www.firststepschiropractic.com/2025/12/25/forceps-delivery-complications-later-life/
https://www.cerebralpalsyhub.com/birth-injury/vacuum-delivery-complications/
https://www.dko-law.com/blog/can-birth-injuries-cause-autism-or-adhd/
https://www.nationalbirthinjurylaw.com/what-causes-cerebral-palsy
https://prosperlaw.com/medical-malpractice-childbirth/
https://www.rwkgoodman.com/injury/birth-injury-claims/cerebral-palsy-claims/cerebral-palsy-guide-causes-symptoms-legal/
https://www.grossmanjustice.com/new-jersey-cerebral-palsy-lawyer/
https://www.dovepress.com/impact-of-different-delivery-modalities-on-maternal-and-neonatal-outco-peer-reviewed-fulltext-article-IJWH
https://www.dwbrlaw.com/category/birth-injuries/