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Forceps Delivery Birth Injuries

Complications during labor, such as a large baby, breech position, or prolonged labor, sometimes require the use of forceps to deliver the baby safely. However, birth injuries such as nerve or brain damage can occur if proper medical procedures are not followed when using forceps. The use of forceps during childbirth is permissible when the baby appears to be in fetal distress, when the mother has difficulty pushing, or when the position of the baby in the birth canal is incorrect. The structure of the forceps allows them to grip the sides of the baby’s head, giving the doctor a firm grip, but also puts the baby at risk of harm if the procedure is performed incorrectly.

If done correctly, forceps delivery can save a baby’s life or prevent it from becoming severely hypoxic or oxygen-deprived. If a child is without oxygen for too long, serious and permanent brain damage can occur. Likewise, the use of forceps may be the only way to deliver the baby or to protect the baby’s head due to improper positioning. Due to the vulnerability of the child’s skull, it is extremely important to take care of the head. If the doctor does not take the necessary steps to protect the skull, brain damage can occur.

Conversely, forceps delivery can also harm the baby, sometimes permanently. A forceps birth always involves a certain amount of force, so there are risks associated with the procedure. Specific hazards include facial nerve damage, skull fractures and cerebral palsy. Children are not the only parties at risk of complications during forceps births. Mothers face an increased risk of lacerations, urinary tract infections and rectal injuries.

Among the most serious risks of forceps births in children are damage to the facial nerve and cerebral palsy. Damage to the facial nerve can cause permanent facial asymmetry, especially noticeable when the child laughs or cries. Cerebral palsy develops when the cerebrum is damaged, resulting in difficulty with motor control. Although it is a non-progressive disorder, meaning brain damage worsens with age, there is no known cure. Cerebral palsy is considered the second most costly developmental disability to manage over a lifetime, with average lifetime costs approaching approximately $921,000. Its exact cause is unknown, but it is almost always associated with birth trauma, including improper forceps delivery, as well as hypoxia, preterm birth, multiple births, and certain maternal infections before and after birth.

If you are interested in learning more about forceps births, this page on traumatic birth injuries may help.

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