Value of Cerebral Palsy Cases in Maryland

Cerebral Palsy If you believe that a doctor's mistake may have caused your child's cerebral palsy, you may want to seek compensation for both you and your child.

You may not know whether your child's cerebral palsy was caused by a medical mistake. While not all cases of cerebral palsy are caused by medical malpractice, many are.  The results can be tragic.... and infuriating because so much harm is caused.

If you suspect that your child or a family member may have been injured at birth by a medical mistake that could have been prevented, our cerebral palsy lawyers at can help determine if your child may be entitled to compensation in a medical malpractice case. For more information, call 800-553-8082 or get a free online consultation here.

What is Cerebral Palsy?

Cerebral palsy is an umbrella term that describes a group of chronic disorders that impair movement control in the early years of a child's life. While cerebral palsy has probably afflicted us from the beginning of time, there is little in the "medical literature" (if you can call it that) before 1843.

In patients with CP, messages between the brain and the rest of the body become scrambled. These scrambled messages can result in the wrong muscles doing the wrong job causing problems with walking, speech, balance, and coordination. Cerebral palsy is neither progressive or communicable. Some children with cerebral palsy are also affected by other medical disorders, but cerebral palsy does not always result in a profound handicap.

Regrettably, it is not curable. But through therapy and modern technology, people with cerebral palsy often lead productive and, more importantly, happy lives. There are a lot of great kids with cerebral palsy who are living great lives. But, more than most, they need help to pay for their care. This is where, when appropriate, malpractice lawsuits come into play.

Causes of Cerebral Palsy, Malpractice and Otherwise

The cause of this disorder varies. Many children with cerebral palsy have a congenital malformation of the brain, meaning that the abnormality existed at birth and was not caused by factors occurring during the birthing process. For other children, their cerebral palsy was caused by brain damage sustained by the infant before, during or immediately after the baby's birth.

This brain damage is often the result of lack of oxygen to the baby's brain or from trauma during labor and delivery. This type of injury is often, but not always, caused by the medical malpractice of the physicians delivering the baby. This is a list of some of the potential medical malpractice related causes of cerebral palsy:

  • The child has a problem getting enough oxygen after delivery
  • Seizures shortly after delivery
  • Lack of muscle tone or the child is dusky or blue
  • Low APGAR scores
  • Significantly missing developmental milestones
  • Inability to walk, or difficulty walking
  • Spasticity

There is no cure for cerebral palsy, but technology and medical advances are doing some amazing things to improve the quality of life for people suffering from cerebral palsy.

How Can These Mistakes Happen? Electronic Fetal Monitors Example

You have to remember that almost all babies are delivered without any mistakes. If a suit has been filed, you are dealing with a very rare delivery. And, yes, some doctors for varying reasons make awful mistakes that cause lifelong consequences. Looking back in hindsight, it is sometimes hard to imagine how the mistake, or the chain of errors, occurred.

A classic example is the failure to pay attention to the fetal heart monitor (EFM). We have been using these fetal monitors for 55 years. Their use is so widespread because they are a great tool in telling us if a fetus is in distress.

Here's the problem: many EFMs produce a lot of false-positive results. That's okay, you go back and perform the tests that need to be performed to rule out a complication that might require more aggressive action to deliver the infant safety. Some doctors roll their eyes and an abnormal heart rate.

The thinking, apparently, is that only inexperienced doctors freak out about such things. But ignoring potential signs of complication - even those that are usually insignificant - can lead to problems. When we are talking about the amount of oxygen a child has before birth, the problems can change the life of that child forever: fetal distress-asphyxia causes cerebral palsy and brain injuries that can't be fixed.

Having access to fetal monitoring strips generated by a fetal monitor does something else unrelated to the treatment of the mother and child. It gives plaintiffs' attorneys the opportunity to have real evidence to present to the jury as to what happened. Doctors control so much of "what happened?" information and, like most people, they have a proclivity to interpret facts in a way that gets them out of trouble. If a child later developed a birth injury, no amount of speculation about the baby's distress could overcome the trusted obstetrician's memory. Now, we have EFM strips don't lie because it does not just monitor the baby - it records what happened and is often the key proof in cerebral palsy cases.

The Defenses from Doctors in CP Injury Cases

The bedrock of the defense of CP injury cases is that a health care provider's mistake is only rarely a cause of cerebral palsy, mental retardation, and other birth injuries,  attention deficit disorder, and epilepsy. There is not much that can go wrong, the argument is, during childbirth.

Of course, this is silly. If you have any doubts, tell an obstetrician that you are considering a using a midwife instead of an OB. Virtually everyone will launch into a speech about all of the things that can go wrong without good care. These doctors - after they have been sued - want it both ways: good delivery care is essential. Yet they end up arguing that nothing they can do to screw it up. Like lawyers sometimes do, admittedly, this is doctors talking out of both sides of their mouth.

Still, extremely well-paid defense experts have continued to deny that cerebral palsy can be caused during delivery. There is has never been, to our knowledge, a CP case where the doctor did not offer a defense regardless of the facts and circumstances surrounding the care.

Maryland Cerebral Palsy Settlements and Verdicts
  • 2015, Baltimore County: $2,000,000 Verdict. A female is having her baby delivered at St. Joseph Medical Center via Cesarean section. The plaintiff claims that the doctors fail to recognize that the baby is premature before the birth, miscalculating the fetal age by three critical weeks. So instead of taking steps to delay and therefore proceed with the delivery, resulting in a premature baby. The baby suffers periventricular leukomalacia and cerebral palsy. The doctor and hospital deny liability for the injuries to the newborn. However, a jury agrees with the plaintiff and awards her $2,000,000.
  • 2013, Prince George's County: $9,500,000 Verdict. A two-week-old infant arrives at the ER, and the nurse fails to report her abnormal blood culture results to the physician. This results in a delayed diagnosis of Group B streptococcus sepsis and meningitis, which leaves the infant suffering from hemiplegic cerebral palsy, moderate mental retardation, and a seizure disorder. The doctors and hospitals attempt to argue that the parents of the child were contributorily negligent. However,  the jury does not buy this defense. They award the plaintiff $5,000,000 for future medical expenses, $1,500,000 for future lost earnings, and $3,000,000 for noneconomic damages such as pain and suffering.
  • 2013, Allegany County: $7,006,719 Verdict. A female infant presents for her two-day routine checkup, at which time she has a heart rate significantly higher than normal. The doctors do not order tests or follow-up examinations to figure out why the infant's heart rate is so high. Two days after this checkup, the infant has another checkup, at which time her heart rate is even higher than it was two days prior. She is ordered to return for an outpatient metabolic screening, and the day after this, the infant's mother notices the child is experiencing labored breathing. She calls the nurse, who tells the mother not to be concerned unless she starts to turn blue. A few hours later, the mother observes the mouth area turning blue, and brings her to the ER. While at the ER, a chest x-ray reveals that she has an enlarged cardiac silhouette and congenital heart narrowing of the aorta. The ER does not have the medicines and surgeons needed to treat these serious issues, so the infant is transported to a different hospital. This all results in cerebral palsy, and she brings suit against the nurses, claiming they negligently failed to investigate the elevated heart rates and failed to order tests to determine the exact problem. The doctors deny any negligence, but after a mistrial, a second jury agrees with the plaintiff, awarding her $1,000,000 for pain and suffering, $269,909 in past medical expenses, $4,518,655 in future medical expenses, and $1,218,155 in future wages.
  • 2012, $55,000,000 Maryland Verdict – A 30-year-old woman goes into labor at home, as planned for a homebirth, with a midwife and two others present. After 2:00 a.m. complications arise when the birth progression stops. An ambulance is called around 2:35 a.m. An urgent C-section is ordered soon after her arrival but is not performed for nearly two hours. The baby is born with permanent brain damage, multiple physical and mental disabilities, and cerebral palsy. Suit proceeds against Johns Hopkins Hospital. Plaintiffs claim that the hospital’s staff is negligent by taking an hour and 55 minutes to perform an urgent C-Section and that all of the infant’s injuries were inflicted in the last 18 minutes. Defendant claims that all of the infant’s injuries occurred while Plaintiff was laboring at home under the care of the midwife, that the fetus was showing signs of distress shortly after 1:00 a.m. Defendant contends that all good standards of medical practice were followed and that all times while Plaintiff labored at the hospital, her monitoring strips were reassuring indicating that the fetus was not suffering an acute injury at that time. The child, now three, requires 24-hour aid and attendant care, in addition to intense physical and occupational therapies for the rest of his life. It is noted that he will never walk or talk. The jury returns a verdict of $55 million. The non-economic damages are reduced according to Maryland statute from $26 million to $680,000. Damages for future lost wages are reduced from $4 million to $2,621,825. Plaintiffs stood to recover $28,301,825 in total, but the case was reversed on appeal.
  • 2012$21,000,000 Maryland Verdict – Plaintiff presents at 31 weeks to the hospital with symptoms of high blood pressure and hypertension. She is connected to a fetal heart rate monitor and evaluated by a maternal-fetal medicine specialist who instructs that a vaginal delivery is reasonable as long as the mother and fetus remain clinically stable. She cautions that if the patient’s clinical status worsens, or upon standard fetal indication, delivery should be performed via C-Section. Plaintiff was kept overnight and started on labor-inducing medication the next morning. Plaintiff contends that before noon, the fetal heart rate was reassuring with minimal to moderate variability, but that afternoon, the heart rate became non-reassuring with late and prolonged variable decelerations. Plaintiff further contends that per the maternal-fetal medicine specialist’s recommendation and the applicable standard of care, a timely C-section was to be performed. The infant was born at approximately 5:13 p.m. with the umbilical cord wrapped around his neck. He was pale and lifeless. He was diagnosed with cerebral palsy. Plaintiffs contend that the labor was allowed to continue for an additional three hours, unnecessarily and wrongly. Defendants contend that the infant’s Apgar scores, taken five minutes post-birth, was normal and so were the blood gasses taken shortly after birth. Defendants further contend that the ultrasound taken of the head three days post-birth was normal and that if there had been any brain damage from asphyxia at birth, it would have shown up on the ultrasound, since the brain swells, but the scan was normal. Defendants allege that problems did not show until 10 to 14 days after the infant's birth, thereby demonstrating that the injury occurred post-birth and was due to prematurity, not anything to do with the delivery. The jury sided with the Plaintiffs and awarded $18,000,000 in future medical costs; $2,000,000 in future lost earnings capability; and $1,000,000 in noneconomic damages.
  • 2009$3,991,000 Maryland Verdict – Plaintiff, 36 weeks pregnant, presents to the hospital with complaints of diarrhea, pain, and vomiting. Approximately three hours after she is admitted, it is determined that the fetal heart rate is 30, and an emergency C-section is performed. The infant had to be revived Immediately upon birth, but suffers brain damage and is diagnosed with cerebral palsy. Plaintiff files suit against the emergency room doctor and the treating OB/GYN alleging that the doctors were negligent in failing to properly monitor the fetal heartbeat. Plaintiffs allege that the ER doctor did not evaluate the mother’s condition, even though he had been informed of her arrival 45 minutes after she got to the hospital, and further allege that the OB/GYN was informed of Plaintiff’s condition two hours after she arrived at the hospital, but failed to evaluate her. Plaintiffs further allege that a placental abruption occurred long before a C-Section delivery was decided and that an earlier delivery would have prevented the child’s brain damage. Defendants deny Plaintiffs' allegations and contend that the placental abruption occurred 15 to 20 minutes before the C-section. The jury agrees with the Plaintiffs and award $300,000 for noneconomic damages; $71,000 for past medicals, $2,870,000 in future medicals; and $750,000 for future lost income.
Keep in mind that cerebral palsy compensation in birth injury cases is dependent upon so many variables that the result of one case cannot predict the results of another.  But these settlements and verdicts should help you better understand the general range of values in these cases.  
Hiring an Attorney for Your Child's Claim

If you believe your child has cerebral palsy as the result of medical malpractice and want to speak with a Maryland cerebral palsy lawyer, call 800-553-8082 or get a free online consultation.

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