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Birth injury statistics

About three babies are born with birth injuries every hour in the United States, affecting as many as 7 babies in every 1,000 deliveries. Sadly, many families are left wondering what happened to cause their child’s condition. Birth injury statistics can help shed some light. When medical negligence is a factor, families should not be left to face the future alone. Learn about key birth injury statistics and what they may mean for you and your child. You could be entitled to financial compensation to help pay for your child’s care.

Did you know?

About 7 birth injuries occur for every 1,000 children born in the United States. Was your child one of them?

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How common are birth injuries in the United States?

A mother holds her newborn close to her while the baby grasps her finger.

Around 30,000 babies are born in the U.S. every year with some form of birth injury.

Here are some key birth injury statistics:

  • Birth injuries are more common in males than females, often due to their size.
  • 80% of birth injuries are considered moderate to severe, with only 20% classified as minor.
  • Birth injuries account for 20% of the 20,000 infant deaths that occur in the U.S. every year.
  • Birth injuries are the 4th-leading cause of death among infants.

Birth injury statistics on legal claims

Every year about 20,000 medical malpractice lawsuits are filed in the United States, and many of them are birth injury lawsuits.

The average medical malpractice payout for children under one month old is over $1 million.

However, it is important to remember that there is a wide range of birth injuries, some mild and others permanently disabling, so birth injury settlement amounts vary significantly.

If you suspect your child’s birth injury was the result of a medical mistake, we may be able to help.

Connect with our labor and delivery nurses in confidence to talk about what may have happened.

Birth injury statistics on causes

Birth injuries can happen for a number of reasons, and in some cases, the causes of birth injuries remain unknown.

A birth injury is usually caused by maternal or infant conditions but can have other causes as well, including medical negligence.

Maternal conditions

Severe maternal complications during labor occur in about 1% to 2% of all deliveries and can lead to birth injuries when they are not identified and managed.

These conditions include:
  • Advanced maternal age (over the age of 35), which occurs in 18% of pregnancies
  • Delayed or prolonged labor, which occurs in about 8% of deliveries
  • Gestational diabetes, which occurs in 7% to 8% of pregnancies
  • Maternal infection, which occurs in about 4% of deliveries
  • Obesity, which occurs in about 1 in every 4 pregnant women
  • Placental abruption (detachment), which occurs in about 1 in every 100 pregnancies

Infant conditions

Infants can also be affected by a variety of conditions during labor and delivery that can lead to birth injuries when they are not diagnosed and properly managed.

These conditions include:
  • Breech (feet-first) positioning, which occurs in 3% to 4% of deliveries
  • Fetal infection, which affects around 4% of deliveries
  • Oxygen deprivation, which occurs to some degree in about 4 million deliveries each year

Other causes of birth injury

A birth injury can also result from a physical injury, usually to the baby’s head or shoulders, that occurs either during the birthing process or shortly after delivery.

Head and scalp injuries are the most common types of physical injuries to newborn babies, with scalp injuries accounting for 80% of all birth injuries.

When infants suffer a broken bone during childbirth, it is most likely to be a clavicle (collarbone) fracture, occurring in 0.2% to 4.5% of deliveries.

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Statistics on birth injury risk factors

While any child can be born with a birth injury, some infants are more likely than others due to certain risk factors.

Some of these risk factors can be managed in the prenatal period, while others may be outside the control of the medical team.

Here are important birth injury statistics on risk factors.

Delivery complications

Delivery complications include failure to progress, fetal distress, excessive bleeding, and malpositioning of the baby in the birth canal.

Fetal distress (when a baby is not receiving enough oxygen during pregnancy or labor) is estimated to occur in 5% to 10% of deliveries.

Failure to progress is when a mother starts the labor process, but then labor is slowed, and the baby may not be descending, or her cervix may have stopped dilating.

Gestational diabetes

Gestational diabetes (occurring only during pregnancy) affects 7% to 8% of all pregnancies in the U.S. each year.

Gestational diabetes can result in several health conditions in babies, including:

  • High birth weight
  • Low blood sugar
  • Premature birth
  • Type 2 diabetes later in life

Health of the baby

The infant can also be in poor health at the time of delivery, sometimes due to the mother passing an infection during vital periods of development.

Babies can also experience failed development or growth while still in the womb, making birth injury more likely.

Additionally, 3% of babies are born with birth defects, sometimes called congenital abnormalities, that can negatively affect their overall health and even be fatal in some instances.

Health of the mother

If the mother is in poor health, particularly if she has a viral or bacterial infection, the infant can be at risk for a birth injury.

According to the Centers for Disease Control and Prevention (CDC), 8% of women experience a urinary tract infection (UTI) during pregnancy.

UTIs during pregnancy can be very dangerous, leading to miscarriage, stillbirth, or preterm birth. They can also be passed to the infant as a life-threatening infection.

Labor induction

Around 20% to 40% of labor is induced, according to birth injury statistics from the American College of Obstetricians and Gynecologists (ACOG).

Labor induction can put an infant at risk for a birth injury, mainly because of certain medications, such as Pitocin.

Pitocin can cause the uterus to contract too often (overstimulate), which can lead to infant distress. Although rare, the use of Pitocin increases the risk of uterus rupturing, which cuts off oxygen to the infant and can cause brain damage.

Preeclampsia

Preeclampsia is a condition that occurs in 5% to 7% of all pregnancies and involves high blood pressure and proteins in a woman’s urine.

It is an extremely dangerous condition and one of the leading causes of death for women during pregnancy.

The infant is also at increased risk for slowed growth in utero and placental abruption (a medical emergency where the placenta detaches from the uterus and stops oxygen/nutrients from the infant).

Preterm delivery is more likely with preeclamptic patients, which places the infant at increased risk for difficulty feeding, vision problems, hearing problems, difficulty breathing, developmental delays, and cerebral palsy.

Position of the baby

A baby's position in the birth canal, especially breech position, can put them at a greater risk for a birth injury.

Around 3% to 4% of babies are in the breech position at the start of labor, often requiring a cesarean section (C-section) for the safety of both the mother and child.

Size of the baby

According to the CDC, 8% of babies are born underweight, and another 8% are born overweight.

Both instances can put an infant at risk for birth injury:

  • High birth weight can result in difficult deliveries during which the baby may spend too much time in the birth canal and experience oxygen deprivation.
  • Low birth weight can result in premature birth, poor feeding, and other health problems later in life.

Birth injury statistics by condition

There are many different types of birth injuries, ranging from mild to severe. In some instances, a child can even die from a birth injury.

Here are birth injury statistics for some of the various health conditions.

Cerebral palsy

Cerebral palsy (CP) is a group of movement disorders caused by brain damage or injury to the developing brain before, during, or after labor.

Between 8,000 and 10,000 babies are diagnosed with cerebral palsy every year in the U.S.

These are the 5 types of cerebral palsy:

  1. Spastic cerebral palsy accounts for 77% of cerebral palsy cases
  2. Athetoid (dyskinetic) CP affects about 2.6% of children with cerebral palsy
  3. Hypotonic CP makes up about 2.6% of cerebral palsy cases
  4. Ataxic CP represents about 2.4% cases
  5. Mixed CP makes up about 15.4% of all cases

Erb’s palsy

Erb’s palsy, also known as brachial plexus palsy or brachial plexus injury, is a nerve injury and resulting medical condition that occurs in about 1 in every 1,000 live births.

This condition is characterized by nerve damage and muscle weakness in the affected arm or shoulder. It is often the result of difficult labor.

Potential causes and risk factors of Erb’s palsy include:
  • Assistive delivery tools such as forceps or vacuum extractors
  • Baby’s shoulder caught behind the mother’s pelvis (shoulder dystocia)
  • Breech (feet-first) position at the time of delivery
  • High birth weight (fetal macrosomia)
  • Multiple births (such as twins or triplets)
  • Use of excessive force by the delivery team

Hypoxic-ischemic encephalopathy (HIE)

HIE is a severe type of brain damage that occurs when the infant’s brain is deprived of oxygen. It is estimated to occur in 1% to 2% of live births.

This condition, also known as birth asphyxia, is one of the leading causes of neonatal death and is much more common in countries with less advanced health care.

HIE can be caused by:
  • High or low blood pressure in the mother
  • Infection in mother or baby
  • Problems with the placenta
  • Umbilical cord problems
  • Uterine rupture

Intrauterine Fetal Demise

Intrauterine fetal demise (IUFD or stillbirth) occurs when a baby dies any time at or after 20 weeks of pregnancy.

Despite stillbirth being the 5th-leading cause of death worldwide, it is estimated that less than 5% of stillbirths are reported.

Furthermore, 76% of stillbirths globally have an undetermined cause.

The rate of stillbirths has decreased steadily over the last few decades, as reported by the CDC, but there were still an estimated 21,000 fetal deaths in the U.S. in 2020.

Jaundice

Jaundice is quite common in childbirth, with nearly 60% of newborns experiencing the condition to some degree shortly after being born.

Jaundice occurs when an infant has high bilirubin levels. Bilirubin is a waste product related to red blood cells being broken down.

While it is a common condition, some babies are at a higher risk of developing jaundice.

Risk factors for jaundice in newborns include:
  • Bruising or cephalohematoma from a traumatic delivery
  • Incompatible blood types between mother and baby
  • Liver malfunction
  • Premature birth
  • Viral or bacterial infection in mother or baby

Kernicterus

Kernicterus is a rare condition that results when a newborn has too high of a bilirubin concentration in their blood. It is often due to severe or untreated jaundice.

Kernicterus is a type of brain damage that can result in cerebral palsy, hearing and vision loss, or intellectual disabilities.

Because jaundice is usually treated, only about 1 in 44,000 newborns develop kernicterus.

Newborn brain damage

Newborn brain damage affects roughly 3 infants out of every 1,000 that reach full-term.

Brain damage in newborns can range from mild to severe and may be treatable depending on the severity of the condition.

Types of newborn brain damage include:
  • Caput succedaneum (swelling around newborn scalp)
  • Hydrocephalus
  • Hypoxic-ischemic encephalopathy or HIE (brain damage from lack of oxygen)
  • Intracranial hemorrhage (bleeding in the brain)
  • Kernicterus (brain damage from untreated jaundice)
  • Traumatic brain injury

Newborn cephalohematoma

Cephalohematoma is a somewhat common condition that is usually harmless and results from blood vessels rupturing on a baby's scalp.

Cephalohematoma occurs in roughly 2.5% of vaginal births. It increases to 10% of vaginal births when forceps or vacuum extraction is used.

Other risk factors for newborn cephalohematoma include:
  • High birth weight
  • Pregnancy involving multiples
  • Prolonged or difficult vaginal delivery
  • Use of epidural (pain-relieving spinal injection)

Spinal cord injuries

Children account for less than 5% of all spinal cord injuries, but the consequences of spinal cord injury in a child, especially an infant, can be devastating.

Most spinal cord injuries occur when the spine or neck is bent or compressed.

Symptoms of a spinal cord injury vary depending on where it occurs on the spine but may include:
  • Extreme back or neck pain
  • Loss of bladder and bowel control
  • Muscle weakness
  • Numbness or tingling in the arms and fingers
  • Partial or complete loss of movement below where the injury occurred
  • Stiffness in the neck
  • Trouble breathing

Birth injury statistics on co-occurring conditions

Infants who experience birth injuries often experience co-occurring conditions. The conditions could be present at birth or show up later in life.

For example, people with cerebral palsy often also experience:

  • Intellectual disabilities: 45%
  • Epilepsy: 25%
  • Vision loss or impairment: 10%
  • Autism: 7%
  • Hearing loss or impairment: 5%

Erb's palsy also has co-occurring medical conditions, particularly a broken collarbone, which occurs in about 50% of Erb’s palsy cases.

Birth injury statistics on treatment options

Birth injuries can range from mild to severe. Some are also more treatable than others. Some mild cases of birth injuries can improve on their own with time.

Birth injury treatment options include:

  • Craniosacral therapy (hands-on massage treatment targeting the membranes and fluid around the brain and spine)
  • Hyperbaric oxygen therapy (treatment involving breathing pure oxygen in a pressurized room or tube)
  • Medication
  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Surgery

Physical therapy, which involves exercises and physical activities designed to improve strength and combat muscle weakness, has been shown to increase an affected child’s mobility by up to 13%.

Occupational therapy involves exercises that increase independence by helping to improve fine motor skills and by providing special equipment to help with ADLs (activities of daily living).

Erb’s palsy is a birth injury that has proven to be highly treatable, with nearly a 100% recovery rate in infants who begin treatment within a month of birth.

Using birth injury statistics to understand legal options

While birth injury statistics can seem alarming for new families, they can also serve as a reminder that you’re not alone.

If your child suffered from trauma at birth, understanding birth injury statistics can help pinpoint what may have happened.

If you suspect your child’s birth injury could have been prevented, we may be able to help. You could be able to access financial compensation to help your child live their best possible life.

Call Cerebral Palsy Guide 24/7 at (855) 220-1101 or get a free birth injury case review now.

 

Reviewed by:Katie Lavender, RN

Registered Nurse

  • Fact-Checked
  • Editor

Katie Lavender has over 8 years of experience as a Registered Nurse in postpartum mother/baby care. With hands-on experience in Labor and Delivery and a role as a Community Educator for newborn care, Katie is a staunch advocate for patient rights and education. As a Medical Reviewer, she is committed to ensuring accurate and trustworthy patient information.

Cerebral Palsy Guide was founded upon the goal of educating families about cerebral palsy, raising awareness, and providing support for children, parents, and caregivers affected by the condition. Our easy-to-use website offers simple, straightforward information that provides families with medical and legal solutions. We are devoted to helping parents and children access the tools they need to live a life full of happiness

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  2. Centers for Disease Control and Prevention. (2022, December 30). Gestational diabetes. Retrieved July 12, 2024, from https://www.cdc.gov/diabetes/basics/gestational.html
  3. Centers for Disease Control and Prevention. (2023, April 24). Infant health. Retrieved July 12, 2024, from https://www.cdc.gov/nchs/fastats/infant-health.htm
  4. Centers for Disease Control and Prevention. (2022, October 25). Preeclampsia, Genomics and Public Health. Retrieved July 12, 2024, from https://blogs.cdc.gov/genomics/2022/10/25/preeclampsia/
  5. Cleveland Clinic. (2021, December 28). Cephalohematoma. Retrieved July 12, 2024, from https://my.clevelandclinic.org/health/articles/22229-cephalohematoma
  6. Cleveland Clinic. (2021, December 28). Erb’s palsy. Retrieved July 12, 2024, from https://my.clevelandclinic.org/health/diseases/21986-erbs-palsy
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  9. National Library of Medicine. (2022, October 31). Intrauterine fetal demise. Retrieved July 12, 2024, from https://pubmed.ncbi.nlm.nih.gov/32491465/
  10. National Library of Medicine. (2016, January 7). Maternal infections during pregnancy and cerebral palsy in the child. Retrieved July 12, 2024, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4801683/
  11. Stanford Medicine Children’s Health. (n.d.). Acute spinal cord injury (SCI) in children. Retrieved July 12, 2024, from https://www.stanfordchildrens.org/en/topic/default?id=acute-spinal-cord-injury-in-children-90-P02590#What%20Causes%20Acute%20Spinal%20Cord%20Injury%20in%20A%20Child?
  12. Stanford Medicine Children’s Health. (n.d.). Birth injuries. Retrieved July 12, 2024, from https://www.stanfordchildrens.org/en/topic/default?id=birth-injuries-90-P02687
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