
As a Nashville birth injury lawyer, I can explain that a Nashville birth injury lawsuit seeks to represent families whose newborns have, with representing up to 15 per 1000 live births and constituting the most common birth-related injury requiring legal intervention.
Statistical evidence demonstrates birth trauma rates decreased from 2.6 to 1.9 per 1000 live births between 2004 and 2012. Nevertheless, certain injuries produce catastrophic long-term consequence, and thus, resulting in permanent disability and ongoing challenges
A Nashville birth injury lawsuit will identify: delayed birth complications, oxygen deprivation, maternity medical negligence, and physical trauma. Victims who have suffered nerve damage, affecting approximately 10 per 1000 newborns, or more severe complications, must understand their legal remedies. /a Nashville birth injury lawsuit provides affected families with the requisite legal representation to secure appropriate compensation for current medical expenses and future care requirements.
Brachial Plexus Injuries and Erb’s Palsy
Brachial plexus injuries as one of the predominant neurological birth traumas, affecting 0.9 to 2.6 per 1000 live births. These injuries constitute a substantial basis for legal claims, potentially resulting in outcomes ranging from temporary weakness to permanent disability requiring lifelong compensation.
Understanding Brachial Plexus Anatomy
This critical nerve structure transmits movement and sensory signals from the spinal cord to the upper extremities. The anatomical

arrangement begins with nerve roots at the spinal cord and extends through the shoulder region into the arm, forearm, hand, and digits. It is one of the most debilitating injuries afflicting the upper extremity
The brachial plexus consists of five primary nerve roots (C5-T1), each controlling distinct functions:
- Upper nerves (C5-C6): Control shoulder and elbow movement
- Middle nerves (C7): Affect wrist extension
- Lower nerves (C8-T1): Manage hand function and fine motor skills
A brachial plexus birth injury lawsuit would allege these injuries principally occur during complicated deliveries when excessive traction or stretching affects the infant’s neck and shoulder region. The predominant scenario involves shoulder dystocia, wherein the infant’s shoulder becomes impacted against the maternal pubic bone following delivery of the head.
Multiple risk factors heighten the probability of these injuries:
- Larger-than-average infants (macrosomia), specifically those exceeding 8 pounds
- Maternal diabetes or obesity
- Prolonged or difficult labor
- Breech (bottom-first) presentations
- Utilization of delivery assistance instruments including forceps or vacuum extractors
Medical negligence claims arise when healthcare providers fail to: anticipate foreseeable complications based on these established risk factors, correctly position the infant for delivery, or execute a timely cesarean section when clinically indicated.

Long-term Complications of Brachial Plexus
Evidence indicates approximately 90-100% of children with minor brachial plexus injuries recover complete function, whereas severe cases frequently result in permanent complications. The severity depends on whether nerves sustained stretching injuries (neuropraxia) or complete severance (avulsion).
Permanent complications often include:
- Persistent upper extremity weakness or paralysis affecting activities of daily living
- Diminished range of motion in the shoulder, elbow, and wrist
- Abnormal muscular development resulting in contractures
- Growth disparities causing upper extremity length discrepancies
- Chronic pain and sensory abnormalities
Furthermore, these physical limitations frequently precipitate psychological and emotional sequelae, including diminished self-esteem and potential social isolation.
Legal Options for Nashville Families Affected by Brachial Plexus Injuries
Tennessee law permits families whose children sustained brachial plexus injuries due to potential medical negligence to pursue damages from the responsible parties. The brachial plexus birth injury action requires plaintiff’s counsel to establish four essential elements:
- The healthcare provider owed a duty of care to the infant
- Said provider breached the applicable standard of care
- This breach directly caused the brachial plexus injury
- The injury resulted in compensable damages to the infant and family
Tennessee’s classification as a “fault state” enables victims injured through another’s negligence to recover damages. However, establishing medical negligence necessitates substantial evidentiary support, including comprehensive medical records, witness testimony, and expert opinions.
Tennessee law imposes specific statutes of limitations for birth injury claims of three years necessitating prompt legal consultation to preserve rights to compensation for medical expenses, rehabilitative services, and long-term care requirements.
Brain Damage and Cerebral Palsy
The Nashville birth injury action identifies brachial plexus injuries as one of the predominant neurological birth traumas, affecting 0.9 to 2.6 per 1000 live births. These injuries constitute a substantial basis for legal claims, potentially resulting in outcomes ranging from temporary weakness to permanent disability requiring lifelong compensation.
Understanding Brachial Plexus Anatomy
Brachial plexus anatomy comprises a complex neural network originating at the spinal cord in the cervical region and extending through the shoulder. This critical nerve structure transmits movement and sensory signals from the spinal cord to the upper extremities. The anatomical arrangement begins with nerve roots at the spinal cord and extends through the shoulder region into the arm, forearm, hand, and digits.
The brachial plexus consists of five primary nerve roots (C5-T1), each controlling distinct functions:
- Upper nerves (C5-C6): Control shoulder and elbow movement
- Middle nerves (C7): Affect wrist extension
- Lower nerves (C8-T1): Manage hand function and fine motor skills
Damage to these neural structures substantially impairs a child’s capacity for movement and sensation in the affected upper extremity.

Causes of Brachial Plexus Injuries During Birth
The brachial plexus birth injury lawsuit alleges these injuries principally occur during complicated deliveries when excessive traction or stretching affects the infant’s neck and shoulder region. The pedominant scenaro involves shoulder dystocia, wherein the infant’s shoulder becomes impacted against the maternal pubic bone following delivery of the head.
Multiple risk factors heighten the probability of these injuries:
- Larger-than-average infants (macrosomia), specifically those exceeding 8 pounds
- Maternal diabetes or obesity
- Prolonged or difficult labor
- Breech (bottom-first) presentations
- Utilization of delivery assistance instruments including forceps or vacuum extractors
Medical negligence claims arise when healthcare providers fail to: anticipate foreseeable complications based on these established risk factors, correctly position the infant for delivery, or execute a timely cesarean section when clinically indicated.
Long-term Complications of Erb’s Palsy
Evidence indicates approximately 90-100% of children with minor brachial plexus injuries recover complete function, whereas severe cases frequently result in permanent complications. The severity depends on whether nerves sustained stretching injuries (neuropraxia) or complete severance (avulsion).
Permanent complications often include:
- Persistent upper extremity weakness or paralysis affecting activities of daily living
- Diminished range of motion in the shoulder, elbow, and wrist
- Abnormal muscular development resulting in contractures
- Growth disparities causing upper extremity length discrepancies
- Chronic pain and sensory abnormalities
Furthermore, these physical limitations frequently precipitate psychological and emotional sequelae, including diminished self-esteem and potential social isolation.
Legal Options for Nashville Families Affected by Brachial Plexus Injuries
Tennessee law permits families whose children sustained brachial plexus injuries due to potential medical negligence to pursue damages from the responsible parties. The brachial plexus birth injury action requires plaintiff’s counsel to establish four essential elements:
- The healthcare provider owed a duty of care to the infant
- Said provider breached the applicable standard of care
- This breach directly caused the brachial plexus injury
- The injury resulted in compensable damages to the infant and family
Tennessee’s classification as a “fault state” enables victims injured through another’s negligence to recover damages. However, establishing medical negligence necessitates substantial evidentiary support, including comprehensive medical records, witness testimony, and expert opinions.
Tennessee law imposes specific statutes of limitations for birth injury claims, necessitating prompt legal consultation to preserve rights to compensation for medical expenses, rehabilitative services, and long-term care requirements.. Families are subject to a one year statute of limitations; however, with a three year limit overall.
Brain Damage and Cerebral Palsy
A frequent yet potentially severe category of birth trauma requiring immediate medical intervention and, in numerous instances, legal action through appropriate litigation.
Clavicle (Collarbone) Fractures
Clavicle fractures occur in up to 15 per 1000 live births, constituting the predominant osseous injury during delivery. The clavicle fracture lawsuit identifies multiple causative factors:
- Complicated deliveries involving shoulder dystocia
- Macrosomic infants
- Cephalopelvic disproportion
- Implementation of delivery assistance instruments
Clinical manifestations of clavicle fracture include persistent crying, visible edema, limited mobility of the affected upper extremity, and shoulder asymmetry. Physical examination typically reveals an asymmetric Moro reflex with diminished movement on the affected side.
Skull Fractures and Cephalohematoma
The skull fracture birth injury action alleges these injuries predominantly result from instrumented vaginal delivery, presenting in various morphologies:
- Linear fractures – osseous structures maintain alignment despite fracture
- Diastatic fractures – disruptions along sutural margins
- Basilar fractures – trauma to the cranial base
- Depressed fractures – inward displacement of cranial fragments
Cephalohematoma, a sub-periosteal blood collection, affects up to 2.5% of all deliveries. Evidence demonstrates this condition occurs with greater frequency following vacuum-assisted deliveries (11.17%) compared to forceps-assisted deliveries (6.35%). Notably, skull fractures accompany approximately 25% of cephalohematoma cases.
Treatment Options for Birth-Related Fractures
Therapeutic approaches vary according to fracture classification and severity:
- Clavicle fractures typically resolve spontaneously within 2-3 weeks, occasionally necessitating immobilization
- Minor skull fractures generally heal without intervention, though medical surveillance remains essential
- Depressed skull fractures may require surgical intervention to prevent cerebral tissue compromise
- Cephalohematoma typically resolves without intervention within 2 weeks to 3 months
When Bone Injuries Indicate Maternity Medical Negligence
A birth injury claim alleges osseous injuries may evidence medical negligence under specific circumstances:
- Application of excessive traction during delivery
- Improper utilization of forceps or vacuum extractors
- Failure to execute a timely cesarean section despite fetal distress
- Mismanagement of established risk factors including maternal diabetes
To prevail in a birth fracture lawsuit, plaintiff must establish the healthcare provider breached the applicable standard of care, thereby causing preventable harm.
Accordingly, comprehensive medical documentation remains indispensable when pursuing damages through Nashville birth injury litigation.
Facial Paralysis and Nerve Damage
a Facial paralysis birth injury claim identifies multiple causative factors:
- Forceps delivery – Mechanical pressure from the posterior blade of forceps onto the stylomastoid foramen or compression of osseous structures overlying the facial canal
- Maternal pelvic pressure – The maternal sacral promontory may compress the infant’s facial nerve during complicated passages
- Prolonged labor – Extended duration in the birth canal increases intracranial pressure
- Large baby size (macrosomia) or cephalopelvic disproportion
The facial nerve injury lawsuit notes that even absent forceps utilization, approximately 33% of facial nerve injuries occur during spontaneous vaginal deliveries.

Distinguishing Between Temporary and Permanent Nerve Damage
A Nashville birth injury claim classifies facial nerve injuries according to severity:
- First-degree injuries – Neural contusion with recovery typically within eight weeks
- Second-degree injuries – Substantial damage with recovery commencing approximately four months post-delivery
- Third-degree injuries – Severe neural damage resulting in incomplete functional restoration or complete transection necessitating surgical intervention
Clinical manifestations include asymmetric crying, incomplete eye closure on the affected side, oral commissure drooping, and uncontrolled salivation.
Medical Interventions for Facial Paralysis
The facial paralysis claim identifies several treatment modalities:
- Conservative management – Clinical observation for spontaneous recovery, occurring in exceeding 90% of cases
- Ocular protection – Ophthalmic lubricants and protective devices for lagophthalmos
- Surgical approaches – For severe cases with inadequate recovery:
- Gold weight implantation for eyelid function
- Cross-face neural grafting to restore facial symmetry
- Functional muscular transfers from lower extremity to face (gracilis muscle)
When Bone Injuries Indicate Maternity Medical Negligence
To prevail in a facial nerve injury lawsuit in Tennessee, plaintiff must establish:
- The healthcare provider breached applicable protocols
- Said breach directly caused the facial nerve injury
- The injury resulted in compensable damages
The facial nerve injury litigation requires documentation of improper forceps utilization, failure to identify established risk factors, or additional instances of maternity medical negligence. Tennessee law permits recovery of economic damages, non-economic damages (subject to statutory cap of $750,000), and punitive damages in appropriate cases.
Spinal Cord Injuries
Image Source: DRS Law
The spinal cord injury birth litigation addresses rare but catastrophic complications occurring in approximately one in 29,000 births. These devastating injuries necessitate immediate medical intervention and require specialized legal representation from qualified counsel experienced in Nashville birth injury jurisprudence.
Mechanisms of Spinal Cord Trauma During Birth
The spinal cord injury lawsuit identifies multiple causative mechanisms:
- Excessive traction or rotation of the vertebral column during complicated deliveries
- Forceful breech extraction, constituting the predominant scenario in litigation
- Vacuum extraction or forceps misapplication exerting pressure on vulnerable spinal structures
The spinal cord injury action recognizes several factors heightening the probability of neural damage:
- Abnormal fetal presentation, particularly breech position
- Cephalopelvic disproportion wherein the infant’s cranium exceeds maternal pelvic dimensions
- Protracted labor involving mechanical obstruction
- Extreme prematurity or significantly reduced birth weight
When Bone Injuries Indicate Maternity Medical Negligence
Clinical manifestations vary according to lesion location and severity vascular hypotonia/x
- Partial or complete motor function loss in extremities
- Respiratory compromise, particularly with high cervical injuries
- Bowel and bladder dysfunction
- Diminished or absent reflexes
Diagnostic evaluation requires immediate assessment through:
- Comprehensive physical examination
- MRI or CT imaging to determine injury extent
- Radiographic studies to identify potential vertebral fractures

Long-term Care Requirements for Spinal Injuries
The spinal cord injury litigation identifies extensive care requirements:
- Immediate interventions – Immobilization, corticosteroid administration to reduce edema
- Ongoing support – Mechanical ventilatory assistance, enteral feeding, urinary catheterization
- Rehabilitative services – Physical medicine, occupational therapy to maximize functional capacity
The economic burden remains substantial, with affected families confronting significant modifications to domestic environments and daily routines.
How a Nashville Birth Injury Attorney Can Help with Spinal Injury Cases
The spinal cord birth requires a plaintiff’ attorney to establish:
- Medical negligence occurred when providers failed to identify established risk factors
- Alternative delivery methodologies should have been implemented
- Improper obstetrical techniques were employed during delivery
Medical malpractice claims arise from preventable injury during delivery. Tennessee statutory provisions permit affected families to pursue damages for continuing medical expenses, rehabilitative costs, and diminished quality of life resulting from maternity medical negligence.
Comparison Table
A Nashville birth injury litigation frequently addresses five primary categories of birth trauma, each with distinct incidence rates, causation, symptomatology, treatment modalities, and prognostic outcomes. The following tabular analysis provides comparative data essential for evaluating potential claims:
Birth Injury Type | Incidence Rate | Primary Causes | Common Symptoms/Effects | Treatment Options | Recovery Outlook |
---|---|---|---|---|---|
Brachial Plexus Injuries/Erb’s Palsy | 0.9-2.6 per 1000 live births | • Shoulder dystocia • Large babies • Difficult labor • Breech presentation • Forceps/vacuum use | • Arm weakness/paralysis • Reduced range of motion • Abnormal muscle development • Growth disparities | • Physical therapy • Surgery (severe cases) | 90-100% recovery in minor cases; 20% never achieve full recovery |
Brain Damage/Cerebral Palsy | 2-3 per 1000 live births (oxygen deprivation) 2.5 per 1000 (HIE) | • Oxygen deprivation • Umbilical cord issues • Improper monitoring • Delayed C-section | • Developmental delays • Seizures • Movement problems • Poor balance • Feeding issues | • Brain scans • EEG monitoring • Laboratory tests • Ongoing therapy | Permanent condition requiring lifelong care |
Skull/Bone Fractures | Up to 15 per 1000 births (clavicle) 2.5% (cephalohematoma) | • Difficult deliveries • Large babies • Narrow birth canal • Forceps/vacuum use | • Continuous crying • Swelling • Reduced movement • Drooping shoulder | • Spontaneous healing • Immobilization • Surgery (severe cases) | 2-3 weeks for clavicle; 2 weeks-3 months for cephalohematoma |
Facial Paralysis | 0.8-7.5 per 1000 births (8.8 with forceps) | • Forceps delivery • Maternal pelvic pressure • Prolonged labor • Large baby size | • Asymmetric crying • Unable to close eye • Drooping mouth • Drooling | • Conservative management • Eye protection • Surgical intervention | >90% spontaneous recovery in mild cases |
Spinal Cord Injuries | 1 in 29,000 births | • Excessive traction • Breech extraction • Forceps/vacuum misuse | • Weak muscles • Loss of movement • Breathing difficulties • Loss of bowel/bladder control | • Immobilization • Corticosteroids • Mechanical ventilation • Rehabilitation | Long-term care typically required |
The aforementioned statistical data and clinical information constitute essential elements in establishing medical negligence in Nashville birth injury claims. Counsel must demonstrate causation between the identified mechanisms of injury and resultant damages to prevail in such litigation.
Conclusion
A Nashville birth injury lawsuit will provide substantial remedies for thousands of families annually affected by birth trauma, ranging from temporary conditions to permanent disabilities requiring lifelong medical intervention. Comprehension of these injuries and their legal implications remains indispensable for affected parties seeking appropriate compensation.
Medical negligence constitutes a central element in birth trauma litigation, particularly when healthcare providers breach the standard of care by:
- Failing to identify established risk factors during gestation
- Inadequately monitoring fetal distress indicators
- Omitting timely medical interventions
- Employing improper delivery methodologies
The birth injury action necessitates comprehensive medical documentation and prompt legal consultation to preserve legal rights. Tennessee families affected by birth trauma should note that state law provides various compensatory remedies for medical expenditures, ongoing care requirements, and diminished quality of life.
The statute emphasizes early medical and legal intervention as potentially determinative factors in securing appropriate care for injured children. Each birth injury claim presents distinct factual circumstances, requiring specialized legal expertise to navigate complex medical evidence and procedural requirements effectively.
Qualified legal counsel will evaluate potential claims, compile requisite evidence, and advocate for maximum compensation for affected families. Tennessee statutory provisions establish specific limitations periods applicable to birth injury litigation, rendering timely legal consultation essential for preserving compensatory rights. The Nashville birth injury lawsuit offers affected families the opportunity to secure financial resources necessary for comprehensive medical care and appropriate accommodations for injured children.
FAQs
Q1. What are the most common types of birth injuries in Nashville? The most common birth injuries include brachial plexus injuries, brain damage leading to cerebral palsy, skull and bone fractures, facial paralysis, and spinal cord injuries. Clavicle fractures are particularly frequent, occurring in up to 15 per 1000 live births.
Q2. How long do I have to file a birth injury lawsuit in Tennessee? Tennessee has specific statutes of limitations for birth injury cases. It’s crucial to consult with a Nashville birth injury lawyer such as Timothy L. Miles soon as possible to ensure you don’t miss the deadline for filing a claim and preserve your rights to compensation.
Q3. What compensation can I seek for a birth injury in Nashville? You may be able to pursue compensation for medical expenses, ongoing care costs, rehabilitation, and impacts on quality of life. In some cases, families have received substantial settlements, including Tennessee’s largest-ever medical malpractice judgment of nearly $47 million for a birth-related brain injury.
Q4. How can I tell if my child’s birth injury was caused by medical negligence? Signs of potential medical negligence include failure to recognize risk factors, improper use of delivery tools, delayed C-section despite fetal distress, or inadequate monitoring during labor. A birth injury lawyer can help review medical records and consult experts to determine if negligence occurred.
Q5. What should I do if I suspect my child has suffered a birth injury? If you suspect a birth injury, seek immediate medical attention for your child. Document all symptoms and medical care received. Then, consult with a Nashville birth injury lawyer who can evaluate your case, gather evidence, and guide you through the legal process of seeking compensation if negligence is found.
Call Nashville Birth Injury Lawyer Timothy L. Miles Today
Navigating the aftermath of a birth injury is a challenging journey for any family. The complexities of medical malpractice law, combined with the emotional and financial strains of caring for an injured child, underscore the importance of skilled legal representation. A Nashville birth injury lawyer such as Timothy L. Miles serves as a crucial advocate, guiding families through the legal process and fighting for the compensation and justice they deserve.
Timothy L. Miles, Esq.
Law Offices of Timothy L. Miles
Tapestry at Brentwood Town Center
300 Centerview Dr. #247
Mailbox #1091
Brentwood,TN 37027
Phone: (855) Tim-MLaw (855-846-6529)
Email: [email protected]
Website: www.classactionlawyertn.com