Baby Doe, 6 months, had an appointment with a physician at the Roe Family Physician office where the baby’s parents were concerned over asymmetrical folds in the baby’s right thigh and buttocks. The family practice physician misdiagnosed Baby Doe and said that all was well.

Six months later, another physician, a specialist, examined Baby Doe who had by then begun walking with a limp. The child was diagnosed as having a right hip dysplasia, which required hip surgery, including a femoral shortening.

The Doe family, on behalf of the child, sued Dr. Roe and her medical practice alleging that she chose not to diagnose a congenital hip problem. The defendants asserted that the baby’s problem was developmental, not congenital and was therefore not diagnosable at an earlier stage.
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The United States will pay $5 million in a settlement to resolve a medical malpractice lawsuit alleging that physicians at a Florida naval hospital chose not to order a cesarean section despite signs and symptoms of fetal distress. As it turned out, the fetal distress caused the baby’s permanent brain damage.

Jenifer and Sean Mochocki, a U.S. Air Force officer, reached a settlement with the federal government in this Federal Tort Claims Act case and asked the federal district court judge to approve the settlement and the medical malpractice lawsuit. The suit alleged that three Naval Hospital Jacksonville physicians chose not to order a cesarean section procedure in the face of adverse fetal heart tracing, which resulted in the Mochocki baby’s hypoxic ischemic encephalopathy (HIE), which is a permanent brain injury related to oxygen deprivation.

The settlement is partially structured in that the Mochocki family will receive $1,590,000 and approximately $3 million will be used to purchase an annuity that will allow for monthly payments of approximately $7,600 for the baby’s life. An additional payment of $4,500 will be made per month when the child reaches the age of 18 until the end of life.
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Rebecca Kerrins, the mother of now 5-year-old Drew Kerrins, sued Palos Community Hospital, Dr. Thomas Myers and Renaissance Medical Group alleging that Dr. Myers chose not to make himself available to take care of Drew’s emergency soon after the baby was delivered.

After a bench trial, a Cook County judge entered a judgment for more than $23 million to the family of Drew Kerrins because of the delay in providing a blood transfusion, which led to the child’s development of cerebral palsy and other cognitive injuries.

Rebecca Kerrins was admitted to Palos Community Hospital to deliver her baby in June 2011. Unfortunately, her placenta separated from her uterine wall at the time of delivery, which caused the baby to lose as much as half of her blood by the time she was delivered.
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Baby Doe, two months old, underwent an MRI after being taken to a hospital by ambulance. The attending anesthesiologist, Dr. Roe, ordered Propofol to prevent Baby Doe from moving excessively during the test.

While undergoing the MRI, Baby Doe’s oxygen saturation level dropped below 90. The baby suffered respiratory arrest resulting in cardiac arrest. Baby Doe experienced hypoxic-ischemic brain damage. Baby Doe — now 9 years old — is unable to take care of himself or speak.

Following this tragic brain injury, the Doe family sued Dr. Roe and his practice alleging that the anesthesiologist chose not to properly monitor Baby Doe during the MRI. The lawsuit also claimed that an attending technician failed to notify Dr. Roe when he noticed Baby Doe’s decreased oxygen saturation. The court had dismissed the radiology technician as a party defendant on that defendant’s motion. The Doe family is appealing that ruling. Continue reading

At the moment of birth, the most objective method of assessing a newborn’s metabolic condition is by analyzing umbilical cord blood gas. To be specific, arterial cord pH and base deficit can determine perinatal hypoxia and be an insight into causes of fetal distress.

Umbilical cord blood gases are most likely interpreted in situations of high risk pregnancies when there are abnormal fetal heart rate patterns, when there is an intrapartum fever, emergent C-section for a fetal compromised, low Apgar scores (less than 3) or when there are multiple fetal births.

There are three most common causes of neonates hypoxia or asphyxia, which are when the mother is oxygen compromised, when there is preeclampsia, chronic hypertension, hypotension, hypovolemia or cyanotic heart disease. Another type of condition that causes hypoxia or asphyxia is when the oxygen flow from the placenta to the fetus is obstructed or impaired. This could be caused by a placental abruption, a cord prolapse, or repetitive cord blockage.
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A federal district court judge in Harrisburg, Penn., has entered a judgment for $42 million to the parents of a Pennsylvania boy left disabled because of brain injuries. In the federal lawsuit, it was alleged that the brain injury was caused by a doctor who used forceps during the delivery process of the child.

The judgment came after a six-day trial in September on claims by a Chambersburg, Penn., couple, Christiana Late and Nathan Armolt. Their 5-year-old son, identified only as D.A. in court documents, understands language but cannot speak, read or write.  He will eventually have to use a motorized wheelchair in order to move about.

The family sued the federal government for errors allegedly made by an obstetrician for Keystone Women’s Health Center, a federally supported facility. Dr. Thomas Orndorf, who was not sued, delivered the child Feb. 21, 2012, at Chambersburg Hospital. Under the law, when a federally financed clinic has been alleged to be negligent causing injury to a patient, the remedy is a claim against the United States under the Federal Torts Claim Act.
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The birth injury to a newborn is perhaps the most heartbreaking injuries that human beings face. The birth of a newborn child is a remarkable event by itself. It comes with the promise of a long and healthy life. However, when an obstetrician, nurse midwife or labor and delivery nurse are negligent, this can cause a birth injury, brain damage or birth trauma. The results are devastating to the baby as well as to the parents and siblings.

In particular, the birth injury to a newborn child who has been injured permanently by the negligence of a labor and delivery team has long-term effects on the mother. In fact, too often mothers are injured during child birth; this may well play a role in their ability to bear more children.

The physical effects on a mother who gives birth to a newborn child coupled with a traumatic labor and delivery injury are easily recognized. The mother may suffer from uterine bleeding, bone fractures and bruising, a uterine rupture that may have been caused by an error in the Cesarean delivery, fissures, infection, pre-eclampsia or eclampsia, uterine hyper-stimulation, vaginal tears or even the wrongful death of the mother. Maternal deaths are much more common than one would expect.
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In this confidential settlement, during the delivery of Baby Doe, a shoulder dystocia occurred. The attending physician, Dr. Roe, released the impacted shoulder and delivered Baby Doe, who suffered a right brachial plexus injury. The brachial plexus injury required nerve graft surgery.

In spite of the surgery to correct the brachial plexus injury, Baby Doe now has a paralyzed right arm, shoulder and hand. Baby Doe’s mother suffered vaginal injuries as well during the delivery.

Baby Doe and her parents filed a lawsuit against the obstetrician, Dr. Roe, and the hospital that delivered Baby Doe, alleging that they chose not to properly handle the shoulder dystocia and safely delivery the baby. The Doe family claimed that Dr. Roe had encountered shoulder dystocia during the delivery of Baby Doe’s older sibling, but chose not to alert the Doe parents about this or the need for a Cesarean section delivery for future pregnancies.
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According to the World Health Organization (WHO), the United States maternal mortality ratio has increased between 1990 and 2013 by 136%. Between 2003 and 2013, there were 7,210 maternal deaths in the U.S., according to the Center for Disease Control’s (CDC) database. The rise in maternal deaths is stunning compared to the rest of the world where the maternal mortality rates have decreased by 45% between 1990 and 2013. Compared to other developed regions of the world, the U.S. is lagging far behind in this area. In developed regions of the world, the maternal mortality ratio was down 38%.

Furthermore, neonatal deaths between 2003 and 2013 numbered 277,886 in the U.S. That number of neonatal deaths compared to Sweden, Iceland and the United Kingdom was significantly higher. The birth trauma injuries for neonates for the year 2004, for example, were 1.1-7.5/1,000 births.

Also alarming is the fact that in the U.S., the likelihood of maternal death in high-poverty areas of the country are twice as high as other areas. The maternal mortality rates per 100,000 live births by race or ethnicity was highest among non-Hispanic black women. The next highest, which was less than half, were of American Indians/Alaska native Americans. In short, African-American women are three times more likely to die from pregnancy-related causes than white women.

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Karla Fountaine received prenatal care from a general practitioner, the defendant Dr. Cheryl Gill. At the time, she was 34 years old. During her pregnancy, she developed gestational diabetes.

When she began bleeding and suffering from increased blood pressure and headache, she was admitted to a hospital but shortly thereafter she was sent home. At 34 weeks gestation, she was readmitted to the hospital with continuing headaches and spiking blood pressure. She passed out in the hospital. An obstetrician delivered her baby.

Fountains suffered brain damage and subsequently died after the birth of her child. She was a former auto worker who had been retraining for another position. She was survived by her husband, an infant son and two other minor children.
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