770 bicyclists died on US roads in 2006, down just 14 from the year before. Over 90 percent died in crashes with motor vehicles. This was in 2006 so I would say the answer is D.

http://www.bhsi.org/index.htm

Have your baby evaluated as soon as possible for Early Intervention therapy……..It will involve physical and occupational therapy that will help strengthen her arm and teach her to use it correctly.

I've cared for a few children with it…..And at 4 and 5 years old they sometimes still have problems with it, depending on the damage. Don't be discouraged though, children with limb problems can lead extremely normal lives…….I know, my 5 year old has a birth defect in his leg.

The single most common risk factor for shoulder dystocia is the use of a vacuum extractor or forceps during delivery.2 However, most cases occur in fetuses of normal birth weight and are unanticipated, limiting the clinical usefulness of risk-factor identification.6
Evidence is lacking to support labor induction or elective cesarean delivery in women without diabetes who are at term when a fetus is suspected of having macrosomia.

It then tells of all the steps a dr should go through to get the baby out as quickly as possibly doing the least damage possible. As a last resort this is what the options are:
1.Deliberate clavicle fracture
Direct upward pressure on the mid-portion of the fetal clavicle; reduces the shoulder-to-shoulder distance.
2.Zavanelli maneuver: Cephalic replacement followed by cesarean delivery; involves rotating the fetal head into a direct occiput anterior position, then flexing and pushing the vertex back into the birth canal, while holding continuous upward pressure until cesarean delivery is accomplished
3. General anesthesia
Musculoskeletal or uterine relaxation with halothane (Fluothane) or another general anesthetic may bring about enough uterine relaxation to affect delivery.
4. Abdominal surgery with hysterotomy
General anesthesia is induced and cesarean incision performed, after which the surgeon rotates the infant transabdominally through the hysterotomy incision, allowing the shoulders to rotate, much like a Woods corkscrew maneuver. Vaginal extraction is then accomplished by another physician.
5. Symphysiotomy
Intentional division of the fibrous cartilage of the symphysis pubis under local anesthesia has been used more widely in developing countries than in North America. It should be used only when all other maneuvers have failed and capability of cesarean delivery is unavailable. (Basically, your doc takes his scalpel and cuts a larger hole in your pubic bone. Ouch)

This all could have happened to you and your baby. If your doctor had not gotten your daughter out quickly (therefore stretching the shoulder and causing erb's palsy) the longer your baby would have been without oxygen and the more severe her case of cerebral palsy would have been if you were lucky, if you weren't lucky, you would have given birth to a stillborn daughter. I know that we go thru 9 months of pregnancy and all expect to have normal labor and deliveries and then perfect healthy babies. Its supposed to happen that way and it is simply not fair when something goes wrong. But placing blame on a baby getting stuck on your pubic bone is not going to help your daughter recover, it will take her mom's 100% focus off her therapy and onto revenge. And yes, I do know what its like to go through something like this. With my 2nd daughter, I was in labor for several hours having many decels with almost every contraction. When it was about time to start pushing, my dr checked me and felt her cord coming out first (prolapsed cord), we were rushed to have an emergency c-section, I had to be put completely under with noone in the room with me, and I had a blue, non-moving, non-breathing baby. With resusitation, she was fine and never even required oxygen. I was told by many many people to sue my ob/gyn, that he should have known hours before this happened with all of her heart decels that she something was wrong and he should have never let it get to the point where her heartrate was 35 before taking me back for a c-section. Maybe not, but I don't have it in me to sue the man who was the one who ended up saving my baby's life, even if this was all caused by his "inaction". He could have done something quicker, but I certainly don't blame him for me having a prolapsed cord. I would rather focus on my 2 beautiful healthy daughters and then as a physical therapist, focus on helping those beautiful babies that weren't as lucky as mine. Sometimes there's just no one to blame and even if there is, what does that help? Go through the court system and stress, lose work days, lose time with your child, lose your mind and sanity, for a case that will likely take years to settle, you may or may not win, and if you do, it will almost certainly not be enough money to pay you back for all the time and stress it has caused. If I were you, I'd focus on doing the therapy with your baby and getting her well. Maybe you could even start a support group in your town to mother's and babies (and dads) affected by this. Put all of this energy into something positive for your daughter. Your love for her is obvious, just get that baby better and focus on how to treat it, and how you and others can prevent it from happening to anyone else ever again.

I wish you and your daughter the best of luck. As I said above, it is very likely that she will fully recover and you'll never even know she had erb's palsy. She'll be fine! If she's already trying to lift her arm, she's in the home stretch! That article stated that nearly all palsies resolve completely in 6 to 12 months, so don't get discouraged if she isn't where they said she'd be in 6 weeks. Just keep taking her to therapy, do the home exercise program your therapist has shown you, and as the saying goes: that which doesn't kill us makes us stronger! You are already the best mother this little girl could possibly ask for, God will take care of you both.