Articles Posted in Obstetrician Negligence

At 31 weeks gestation, Linnoska Correa had a prenatal visit with obstetrician Dr. Luis Pardo Toro. Correa’s blood pressure during the visit was 136/86 mm Hg, which was appreciably higher than other blood pressure readings during her pregnancy.

The next day, Correa complained of severe stomach pain. She was admitted to the hospital HIMA-San Pablo in Puerto Rico where she was diagnosed as having severe preeclampsia. She was given antibiotics and magnesium sulfate.

Two days later, Correa’s daughter was delivered by cesarean section. The Apgar scores at the time of delivery were 7 at one minute and 8 at five minutes. Correa’s daughter, who is now 8, suffers from severe neurological injuries and quadriplegia, which necessitates 24-hour care daily.
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Ms. Doe, 30, had a history of cesarean section, stillbirth and miscarriage. When she became pregnant again, she consulted with a maternal-fetal medicine specialist. A plan was put in place for a cesarean delivery at 39 weeks gestation.

During the 37th week of Ms. Doe’s pregnancy, she went to a hospital emergency room complaining of nausea, vomiting and abdominal pain. Although she was sent home, her pain persisted. Ms. Doe was admitted to the hospital two nights later.

The hospital’s hospitalist placed Ms. Doe on a fetal monitor, which changed from normal to indeterminate over a relatively short time span. Ms. Doe’s abdominal pain worsened, but she was discharged with instructions to follow up with her treating obstetrician in the morning.
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Jean-Marie Monroe-Lynch and her husband Aaron Lynch were unable to conceive. Monroe-Lynch received therapeutic donor insemination (TDI) services from the University of Connecticut Health Center’s Center for Advanced Reproductive Services. As a result, she became pregnant with twins.

Throughout the pregnancy, Jean-Marie and Aaron were told that their babies were healthy. At 37 weeks’ gestation, however, the Monroe-Lynch couple learned that their daughter had died in-utero.

The remaining twin, a boy, was then delivered by way of emergency cesarean section. The couple’s son, now age 6, suffers from catastrophic neurological and developmental disabilities.
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Tammy Esquivel was admitted to Contra Costa Regional Medical Center to deliver her baby. During her 26-hour labor, her contraction pattern became abnormal. She experienced intense abdominal pain. The fetal monitor showed a prolonged severe deceleration, prompting nurses to reposition Esquivel and discontinue Pitocin.

A new deceleration occurred. A special response team was then summoned to the bedside. Approximately an hour later, Esquivel’s daughter was delivered by emergency cesarean section.

The baby was later diagnosed as having suffered severe hypoxic-ischemic brain damage. The baby is now three. She requires a feeding tube and suffers from seizures among other medical problems.
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After delivering her second child at Roe Hospital, Ms. Doe, 32, experienced postpartum bleeding. Her pulse increased to 180 beats per minute. Her blood pressure plummeted to 74/44 mm Hg.

Ms. Doe’s treating obstetrician and the attending nurses tried unsuccessfully to stop the bleeding. They used a Bakri balloon and administered Hemabate solution. However, 90 minutes later, the doctor ordered a blood transfusion. Despite these efforts, Ms. Doe’s condition deteriorated and she later passed away.

She was survived by her husband and two minor children, including her newborn.
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Ms. Doe presented in active labor on an evening to Providence Regional Medical Center’s Pavilion for Women and Children. Ms. Doe, whose full-term baby was healthy at the time of her admission, was administered Pitocin and remained in labor throughout the night.

The next morning at around 5 a.m., significant signs of fetal distress occurred, including prolonged decelerations. Nurses informed the on-duty obstetrician, who was in surgery with another patient. The doctor ordered an operating room be opened for Ms. Doe.

Approximately three hours later, Ms. Doe’s daughter was delivered by cesarean section; the procedure was performed by a different obstetrician. The baby was diagnosed as having hypoxic-ischemic brain damage and — tragically — died just nine days later. The baby was survived by Ms. Doe, the baby’s mother, and her husband.
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D.W. was born at 25 weeks gestation at Jamaica Hospital Medical Center. The baby was diagnosed as having suffered hypoxic-ischemic brain damage resulting in spastic quadriplegia.

D.W. is now in the 6th grade. He attends special education classes and will never be able to live independently as a result of his brain injury.

A lawsuit was filed against the hospital and two doctors who provided care during D.W.’s delivery, alleging that they chose not to timely deliver D.W. by way of a cesarean section; the suit also alleged lack of informed consent and negligent post-delivery care. This included a failure to offer cranium cooling.
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Ms. Doe, 34, was admitted to a hospital experiencing signs and symptoms of placental abruption and preeclampsia. Although the fetal heart monitor allegedly revealed signs of fetal distress, no action was taken promptly to deliver her baby. Unfortunately, the baby died later in Ms. Doe’s womb. That night, Ms. Doe experienced hypertension and later developed HELLP Syndrome.

HELLP Syndrome is a serious complication of high blood pressure during pregnancy. The acronym HELLP stands for hemolysis, elevated liver enzymes and low platelet count. HELLP Syndrome usually develops before the 37th week of pregnancy but can occur shortly after delivery. Many women are diagnosed with preeclampsia beforehand. Symptoms include nausea, headache, belly pain and swelling.

In the case of Ms. Doe, the baby was subsequently delivered and the mother suffered a stroke. Ms. Doe now experiences balance, cognitive and physical issues and cannot return to her job where she earned approximately $32,000 per year.
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During delivery at a hospital, newborn Destiny Coleman suffered a brachial plexus injury.

The baby’s mother, individually and as her guardian, filed a lawsuit against the estate of Dr. Robert Lipari, the obstetrician who delivered her. He is now deceased. The lawsuit alleged obstetrics medical negligence.

The defense argued that the baby’s injuries resulted from maternal forces of labor, contractions, and maternal pushing, not mishandling the labor and delivery. The plaintiff maintained that that was the cause of the brachial plexus injury and was a result of the doctor’s negligence.
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Ms. Doe was pregnant with twins; they shared a placenta but had their own amniotic sacs. During her pregnancy, one of the twins, Twin B, had an abnormal velamentous cord insertion and exhibited persistent absent end-diastolic flow, which indicated underlying fetal vascular stress. Velamentous cord insertion is a complication of pregnancy in which the umbilical cord is inserted in the fetal membranes. In a normal pregnancy, the umbilical cord inserts into the middle of the placenta and is surrounded by the amniotic sac.

At 24 weeks, a Doppler ultrasound revealed reverse end-diastolic flow (REDF) in Twin B’s umbilical artery. Reversal of the umbilical artery end-diastolic flow or velocity can be an ominous sign when detected after 16 weeks of pregnancy. In extreme situations, such as severe intrauterine growth restriction, the arterial blood flow can reverse directions at the end of diastole. This is referred to as a reversed end-diastolic flow.

When this condition was recognized, Ms. Doe’s treating maternal-fetal medicine specialist did not hospitalize her but continued seeing her every week until 27 weeks gestation. Two weeks later, Twin B died.
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