CEREBRAL PALSY
Cerebral palsy is
the term for paralysis and spasticity resulting from brain
injury. The paralysis can affect both arms and legs
(quadriplegia) or the arm and
the leg on just one side (hemiplegia). Cerebral palsy is
permanent, incurable and
irreversible.
CEREBRAL PALSY IS OFTEN
PREVENTABLE
Not all cerebral palsy is the
result of improper care by the physicians and nurses attending to the
labor and delivery and the newborn. However, recent
scientific studies state that a large
percentage of all cases of cerebral palsy are a result of intrapartum
asphyxia (lack of oxygen during
labor and delivery). This is significant because there are
recognized signs and symptoms of
intrapartum asphyxia and there are approved interventions to be
performed by doctors and nurses
in order to prevent permanent brain damage when those signs and
symptoms of asphyxia are present.
The most common warning sign of impending brain
injury is an abnormal heart rate as
demonstrated on an electronic fetal heart rate monitor. Such
monitors are in common use in virtually
every hospital in Oregon and all labor and delivery nurses and
physicians attending to pregnancies
are trained to recognize abnormal heart rate patterns on the monitors.
Labor and delivery nurses and physicians attending
to pregnancies are trained and are
expected to initiate the following simple and straightforward
interventions when heart rate
abnormalities appear on the fetal heart monitor: turn mom from one side
to the other, administer
oxygen, start an I V to administer hydration and, most importantly,
notify the doctor. If these simple
interventions do not resolve the heart rate abnormalities, all labor
and delivery nurses and physicians
attending to pregnancies are trained and required to proceed as
expeditiously as possible to delivery
of the infant in order to prevent brain damage and possible cerebral
palsy.
For more information, contact:
United Cerebral Palsy
The Cerebral Palsy Network