Anesthesia Errors and Cerebral Palsy

Fact Checked

Physicians have been administering anesthesia to pregnant women since the 1800s to help them manage pain [1], but the risks associated with it are still in place today. An anesthesiologist must make sure the mother and baby’s health are OK and must act within the expected standard of care. If not, mistakes can happen, which could potentially lead to a baby developing complications such as cerebral palsy.

About Anesthesia During Labor and Childbirth

There are two common types of anesthesia used during childbirth. Epidurals are used during normal, vaginal deliveries, while spinal blocks are used during C-sections. Although both forms of anesthesia have strong 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 being inserted into a mother’s back and into the spinal column. [2] When the needle is removed, a catheter remains in the back, which administers medication to help with labor pain.

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 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 lessened. 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

According to a study published by the National Center for Biotechnology Information, maternal low pressure can be a complication for some women who have epidurals.

“In about 14 out of 100 women, the epidural causes blood pressure to drop, which can lead to dizziness or nausea,” the study states. [3]

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

Use of Forceps/Vacuum Extractor

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

Although obstetrical forceps can be effective during a difficult birth, the process requires someone who is 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, which can lead to cerebral palsy and a host of other medical issues.

Abnormal Uterine Contractions

Since an epidural blocks pain, it can also block the urge to push. This, in turn, masks strong uterine contractions which makes the process of determining uterine rupture more difficult. [4]

Uterine rupture can lead to dire consequences for the infant, including the potential development of hypoxic-ischemic encephalopathy (HIE), and in some cases, even death.

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 of the skull, the outer covering of the brain, and in some instances, in 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 a procedure in which a qualified medical expert injects a small needle into the cerebrospinal fluid around the spinal cord. [5]

The needle transfers medicine to the mother, and the effects of the medication take place almost immediately. A spinal block allows the mother to stay awake during a C-section procedure, while the medication blocks pain.

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

Spinal blocks, similar to an epidural, come with risks, especially if medical errors are made.

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 serious medical issue. Doctors and healthcare staff must act immediately to ensure the health of both the mother and baby.

Wrong Dosage or Incorrect Dosage

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

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

Medical Errors

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. If you have questions or need additional assistance, contact us at 866-579-8495.