What is birth trauma?
Birth trauma is physical injury to the child sustained during labour and delivery. It differs from birth injury, which includes systemic damage caused by birth asphyxia, for example. Birth trauma, on the other hand, refers to damage to the newborn’s tissues and organs, likely from physical pressure during childbirth.
Many examples of birth trauma can be avoided with improved obstetric care.
Birth trauma ranges from minor, such as slight, surface-level abrasions, which require no ongoing treatment, to profound brain and spinal cord injuries. The frequency of birth trauma has diminished over the last several decades, but can still occur nonetheless in the absence of reasonable medical care.
Symptoms of birth injury may include:
• Soft tissue injuries
• Skull injuries
• Intracranial hemorrhage
• Nerve damage
Diagnosis of birth trauma:
Since ‘birth trauma’ is an umbrella term used to identify a number of birth-related injuries, diagnoses vary. For catastrophic incidents, such as spinal cord and brain injury, depressed tone and lack of reflex activity may be indicators. Physical injury, such as fractures and dislocations, may be easier identified if sustained during a challenging vaginal birth, or an attempted vaginal birth before C-section delivery.
Physical factors that may complicate a vaginal birth include macrosomia (significantly larger birthweight), cephalopelvic disproportion (baby too large to fit through mother’s pelvis), and abnormal presentation (positioning of the baby) — breech position, for example.
The obstetrician may decide to deliver the child by caesarian if the baby’s size and position suggest trauma is likely.
The misuse of forceps (especially midforceps) can cause trauma to the infant’s fragile brain, as can vacuum extraction.
Birth trauma and cerebral palsy:
Acquired cerebral palsy can be the result of birth trauma. Action may be taken by the delivery team to reduce the risk of injury. Assessing and managing risk factors, including the baby’s size and position, can help prevent the delivery from being needlessly ‘complicated’.
Jaunice in the newborn must be monitored. Excessive bilirubin, a substance formed by the breakdown of red blood cells, in the blood of an infant is a condition called hyperbilirubinemia. Risk factors for hyperbilirubinemia include cephalohematoma (hemorrhage of blood between the skull and membrane), bruising, and instrumented delivery.
If left untreated, hyperbilirubinemia may develop into kernicterus. Kernicterus, or bilirubin encephalopathy, is a form of brain damage which can cause athetoid cerebral palsy.
Parents of a child with cerebral palsy are advised to consult a medical malpractice lawyer. The legal team at Campbell, Renaud Trial Lawyers will investigate the cause of your child’s cerebral palsy and hire medical experts to determine whether its development was preventable.