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People's Justice Legal Research Team

How Erb's Palsy Is Caused by Medical Negligence

Erb's palsy occurs when the C5 and C6 nerve roots of the brachial plexus are stretched or torn during delivery. In the large majority of birth-related Erb's palsy cases, the mechanism is shoulder dystocia — the infant's shoulder becomes impacted behind the maternal pubic bone, and the delivering physician applies excessive downward lateral traction on the infant's head to dislodge the shoulder. This force stretches the brachial plexus nerves. The ACOG-established standard of care for shoulder dystocia specifies a sequence of maneuvers — McRoberts, suprapubic pressure, Rubin II, delivery of the posterior arm — that are designed to resolve the impaction without applying traction on the head. Deviation from this protocol is the central malpractice theory in most Erb's palsy cases.

Erb's Palsy Settlement Amounts

Erb's palsy cases with mild injury and full recovery have settled for $100,000 to $500,000. Cases involving permanent partial paralysis requiring nerve graft surgery and ongoing physical therapy have settled for $1 million to $3 million. A Pennsylvania shoulder dystocia/Erb's palsy case settled for $4.2 million involving complete permanent brachial plexus injury. Sokolove Law has published Erb's palsy average settlement figures in the range of $1 million to $3 million nationally, with higher values for total plexus injuries versus upper plexus (Erb's palsy) injuries.

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Related Topics

Related Pages

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Cerebral palsy caused by oxygen deprivation during labor or delivery is the most frequently litigated birth injury. When CP is caused by a failure to respond to fetal distress, a delayed emergency C-section, or HIE that was not promptly treated with cooling therapy, families can pursue compensation for lifetime care costs that can reach $1 million to $5 million or more.

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Electronic fetal monitoring strips are the single most important evidentiary document in the majority of birth injury malpractice cases. This page is a nationally differentiated content gap — no major law firm has a dedicated standalone page explaining how EFM strips are interpreted and used as evidence. Category III patterns require immediate intervention; late decelerations indicate placental insufficiency and fetal hypoxia.

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Hospitals can be held independently liable for birth injuries arising from: understaffing of labor and delivery units; failure to maintain functioning fetal monitoring equipment; nursing negligence in documenting and reporting non-reassuring fetal heart rate patterns; failure to have cooling therapy equipment available; and negligent credentialing of physicians with documented histories of delivery errors.

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Hypoxic-ischemic encephalopathy (HIE) is brain damage caused by insufficient oxygen and blood flow during or around birth. It is the most serious and highest-value birth injury in litigation. A Michigan jury's $144 million verdict is the national benchmark. Cases often center on failure to respond to Category III fetal monitoring patterns, delayed emergency C-section, and failure to initiate cooling therapy within the mandatory 6-hour window.

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The average birth injury settlement is $1 million or more, but values range from $100,000 for mild injuries with full recovery to $144 million for the most catastrophic HIE cases requiring lifetime care. Lifetime care cost projections by a certified life care planner are the single most important factor in maximizing settlement value.

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Shoulder dystocia is an obstetric emergency requiring a specific sequence of maneuvers codified by ACOG. Failure to apply these maneuvers in sequence — and instead applying excessive lateral traction on the infant's head — is the most common malpractice theory in Erb's palsy and birth asphyxia cases arising from shoulder dystocia deliveries.

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The statute of limitations for birth injury lawsuits varies significantly by state, with most adult parent claims running 2–3 years from the injury. Most states toll the child's personal injury claim until age 18 or 19 under infancy tolling rules. Critical exceptions: Ohio (1-year adult deadline), Texas (limited tolling in med-mal), and Illinois (tolled only to age 8 for children in medical malpractice). Do not delay — evidence deteriorates rapidly.

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A birth injury qualifies for legal action when a healthcare provider failed to meet the standard of care during labor, delivery, or the immediate newborn period, and that failure caused or contributed to the child's injury. The evaluation involves reviewing fetal monitoring strips, APGAR documentation, cord blood gas values, and clinical records.

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Parent Case

Birth Injury Lawsuit

A birth injury is harm caused to an infant during labor, delivery, or the immediate newborn period as the result of medical negligence. Approximately 1 in 143 babies born in the United States experiences a birth injury. When a physician, midwife, hospital, or NICU staff member fails to meet the standard of care — by misreading fetal monitoring strips, delaying an emergency cesarean section, failing to initiate HIE cooling therapy within six hours of birth, or improperly using delivery instruments — the consequences can include cerebral palsy, Erb's palsy, hypoxic-ischemic encephalopathy (HIE), and permanent disability requiring a lifetime of specialized care. The average settlement for a catastrophic birth injury is $1 million or more; complex cases involving lifetime care for severe cerebral palsy or HIE can reach $10 million or beyond. Families should act promptly: while infancy tolling rules exist in many states, statutes of limitations vary significantly, and evidence — including fetal monitoring strips, hospital records, and APGAR score documentation — must be preserved.

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