Anesthesia Errors and Cerebral Palsy

Fact Checked

Mistakes and misuse of anesthesia during labor and delivery can lead to complications, birth injuries, and even cerebral palsy in a newborn. An anesthesiologist must make sure the mother and baby are in good health and must act within the expected standard of care.

About Anesthesia During Labor and Childbirth

Physicians have been administering anesthesia to pregnant women for over 100 years to help them manage pain, but the risks associated with it still exist.[1]

There are two common types of anesthesia used during childbirth. Epidurals are used during standard vaginal deliveries, while spinal blocks are used during C-sections. Although both forms of anesthesia have substantial benefits, there are also risks.

What Is an Epidural?

According to the American Academy of Anesthesiologists, an epidural consists of a tiny tube and needle inserted into a mother’s back and into the spinal column.

When the needle is removed, a catheter remains in the back, administering medication to help with labor pain.[2]

The area on the back is numbed first by an anesthesiologist before the needle is inserted, but the patient feels a temporary sting. Once the medicine is administered, it creates numbness around the area below the abdomen and the upper legs.

The mother remains awake and alert after an epidural, but the numbness blocks out the pain associated with childbirth.

The amount of pain decreases with the strength of the epidural. For instance, with an “alight” epidural (less anesthesia), a mother may still feel pain, although it is less. With higher levels of anesthesia, a mother may not feel any pain.

The benefits of an alight epidural are that mothers can more actively participate in the delivery, such as feeling the pressure to push during contractions.

The epidural effect will generally start to wear off after a few hours.

Complications with Epidurals

Low Blood Pressure

Low maternal blood pressure can be a complication for some women who have epidurals. About 14% of women who receive an epidural experience a drop in blood pressure, which can cause dizziness and nausea.[3]

Maternal hypotension poses potential risks to the baby. It can potentially cause the baby to pass infant meconium (which can lead to brain damage and cerebral palsy) and intrauterine growth restriction (IUGR). It has been linked to both low Apgar scores and fetal acidosis.

Use of Forceps or Vacuum Extractor

Delivering a baby after receiving an epidural also increases the chances of prolonged labor, leading to a physician using birth-assisting instruments, such as forceps or a vacuum extractor, to pull the baby out.[4]

Although obstetrical forceps can be effective during a difficult birth, the process requires someone highly qualified and skilled when using these instruments.

One small mistake can lead to permanent injuries and disorders, such as a spinal cord injury, hydrocephalus, or permanent brain damage, leading to cerebral palsy and a host of other medical issues.

Epidural Hematoma

Women with bleeding disorders are at heightened risk of developing blood clotting and other serious blood-related issues if they get an epidural.

An epidural hematoma is a brain injury that results in bleeding inside the skull, the outer covering of the brain, and, in some instances, the spinal column. An epidural hematoma happens when blood vessels are ruptured.

Although an epidural hematoma is rare, it can happen due to traumatic needle insertion and spontaneous bleeding during the insertion of an epidural needle.

What Is a Spinal Block?

A spinal block, also called spinal anesthesia or a subarachnoid block, is where a qualified medical expert injects a small needle into the cerebrospinal fluid around the spinal cord.

The needle transfers medicine to the mother, and the medication’s effects occur almost immediately. A spinal block is often used to block pain during a C-section procedure.[5]

A spinal block differs from an epidural in that it is a one-time shot of anesthesia, while an epidural can provide continuous anesthesia.

Like an epidural, spinal blocks come with risks, especially if a medical professional makes a mistake:

Maternal Low Blood Pressure

Maternal low blood pressure is also associated with C-section anesthesia, which, as aforementioned, can pose serious risks to the infant.

Keep in mind that maternal low blood pressure is considered a severe medical issue. Doctors and healthcare staff must act immediately to ensure the health of both the mother and the baby.

Wrong Dosage or Incorrect Dosage

Rarely will a health professional administer an anesthetic that the mother is allergic to. Other times, they might use the incorrect dosage of anesthetic.

Both scenarios can lead to placenta previa or placental disruption, which is extremely dangerous for the infant.

Medical Errors and Anesthesia

Keep in mind that medical professionals must do their best to ensure the health and safety of mothers and babies at all times and abide by the medical standards of care.

Reasons that medical mistakes lead to birth injuries and cerebral palsy include:

• Failure to properly administer the epidural
• Failure to closely monitor both mother and baby
• Failure to have a skilled team on hand
• Failure of the medical team to communicate with each other and detect signs of trouble in time.
• Failure to monitor the infant’s heart rate

If you feel your baby’s injuries were caused by medical negligence, you could have a valid case for medical malpractice. Contact an experienced lawyer to determine your options.