The Temporal Stage fallacy: A novel statistical fallacy in the medical literature

Celebrated for disproving the traditional view that lack of oxygen at birth (perinatal asphyxia) contributes significantly to cerebral palsy, a 1986 New England Journal of Medicine article by Karin Nelson and Jonas Ellenberg engineered a new consensus in the medical community: that lack of oxygen at birth rarely causes cerebral palsy. We demonstrate that the article's central argument relies on straightforwardly fallacious statistical reasoning, and we discuss significant implications--e.g. how carefully fetuses are monitored during labor and delivery, expert testimony in malpractice cases, and public policy decisions.