February 27, 2009

New Cerebral Palsy Study

by Robert D'Iorio

Richard B. Silverman and others at Northwestern University in Chicago, IL recently created two chemical compounds that look promising in protecting the fetus from later developing cerebral palsy from lack of oxygen at birth.

The compounds work by blocking the enzymes that produce nitric oxide. Excessive nitric oxide is produced in the brain after hypoxia has occurred and can lead to brain damage. Delivering the compounds 30 minutes prior to the hypoxic insult resulted in a 100 percent survival rate of the test animals. All of the animals given the placebo died.

Although tests on humans may be several years down the line, Silverman stated that the compounds could be used prior to c-sections to diminish the risk of brain damage and reduce the instances of cerebral palsy in humans.

February 25, 2009

Cerebral Palsy and Donor Cord Blood Stem Cells

by Robert D'Iorio

The video below contains a brief overview on cord blood stem cells and explains who may benefit from banking cord blood, answering questions such as “what if I didn’t store my child’s cord blood?” and “Can my child use other children’s stored cord blood?”

Please see my earlier posts for a more in-depth look at cord blood and the new treatments for children with cerebral palsy.

February 23, 2009

VBAC Uterine Rupture and Cerebral Palsy

by Robert D'Iorio

TIME Magazine recently featured an article on VBAC ( Vaginal Birth After Cesarean Section) and the risks involved.

One of the dangers involve in a VBAC is a uterine rupture. A uterine rupture can put the mother and child at great risk. The child may be deprived of oxygen. Deprivation of oxygen increases the child’s risk of developing cerebral palsy.

As the article states due to the high risks there have been many medical malpractice lawsuits involving VBACs.

February 21, 2009

Birth Injury Risk Factors - Umbilical Cord Prolapse, Shoulder Dystocia etc.

by Robert D'Iorio

The following video discusses topics such as:

Breach Birth - abnormal presentation of the fetus

Macrosomic babies - large babies

Shoulder Dystocia – shoulder getting stuck on the mother’s pubic bone. This can lead to erb’s palsy (injury to the brachial plexus) and/or cause the child to be deprived of oxygen leading to cerebral palsy

Umbilical Cord Prolapse – this happens when the umbilical cord precedes the child and exits the uterus first. This can cause a lack of oxygen to the fetus resulting in brain damage and cerebral palsy

Umbilical Cord Wrapped around the child’s neck – this can cause a lack of oxygen to the fetus and result in brain damage and cerebral palsy

February 20, 2009

Cesarean Section (C-Section): The Medical Reasons – Cerebral Palsy and Erb’s Palsy

by Robert D'Iorio

The video below explains the medical reasons for having a Cesarean Section (C-Section). Some of the reasons include:

Shoulder dystocia - which can lead to a brachial plexus injury ( Erb’s Palsy)

Lack of oxygen to the child – Which can lead to Cerebral Palsy

Abnormal Heart rate of the child – Leading to brain damage and cerebral palsy

Any other signs of fetal distress.

Breach birth

Health of the mother at risk- i.e. preexisting liver or heart problems

And finally some infections will warrant a C-section

February 18, 2009

Signs of Preterm Labor and Cerebral Palsy

by Robert D'Iorio

Children born prematurely often have many health complications including cerebral palsy. The following video, provided by the March of Dimes, explains the signs and symptoms of preterm labor and also explains what can be done by you and your doctor to delay the onset of labor or diminish the risk of injury to the baby should he/she be delivered prematurely.

February 15, 2009

Cerebral Palsy Lawyers Recover $ 4.4 Million in Medical Malpractice Lawsuit

by Robert D'Iorio

Last Friday a Jury in York County, South Carolina awarded the family of Sierra Wilson $ 4.4 Million due to a birth injury sustained at Piedmont Hospital. The Plaintiffs alleged that the medical staff failed to respond to signs of fetal distress. This failure to act caused Sierra to be deprived of oxygen at birth. Sierra latter was diagnosed with cerebral palsy.

February 13, 2009

Gestational Diabetes and Shoulder Dystocia

by Robert D'Iorio

The video below discusses how gestational diabetes can develop in pregnant women. Gestational diabetes can cause a fetus to grow larger than desired for a vaginal delivery (classified as a large gestational age (LGA) child) and may warrant a c-section.

Large children run the risk of getting their shoulders caught in the birth canal a condition known as shoulder dystocia. If shoulder dystocia is not managed properly the child may develop nerve damage to the brachial plexus and develop a condition known as erb’s palsy or suffer from lack of oxygen and cerebral palsy or both.

Often, doctors will recommend that mothers with gestational diabetes and LGA children deliver the child via c-section to avoid the risk of shoulder dystocia.

February 11, 2009

Cerebral Palsy and Conductive Education

by Robert D'Iorio

The following video discusses the benefits of conductive education for children with cerebral palsy.

February 2, 2009

The McRobert’s Maneuver for Shoulder Dystocia

by Robert D'Iorio

The following video is an animation of the McRobert’s Maneuver for Shoulder Dystocia. Shoulder Dyscovia can lead to Erb’s Palsy or Brachial Plexus Palsy.

The McRobert’s Maneuver is performed by pushing the mother’s legs upwards in an attempt to expand the pelvic outlet.