At 39 weeks gestation, Luhe Feng experienced painful contractions and blood-tinged discharge. She was admitted to Mercy Hospital & Medical Center where an electronic fetal monitor showed positive fetal movement. Approximately 45 minutes after her arrival, a nurse assessed minimal variability, late decelerations and absent fetal heart rate accelerations. The presence of meconium also was noted when Feng’s membranes were artificially ruptured. Meconium is a newborn infant’s earliest stool, often caused by stress.
Despite the continuation of late decelerations, the treating obstetrician Dr. Yuhang Shek, told the nurse to anticipate a vaginal delivery. Another doctor later called Dr. Shek, who had left the hospital, and told him that Feng might be experiencing a placental abruption. Dr. Shek disagreed, and the other doctor consulted the department chair, who agreed that cesarean delivery was warranted.
Feng’s son, Dylan Gong, was born approximately 16 minutes later. His Apgar scores were one at one minute and four at five minutes. He required resuscitation and was transferred to a children’s hospital, where he was diagnosed as having suffered hypoxic-ischemic encephalopathy. Dylan, now age 9, suffers from cerebral palsy, developmental delays and other deficits.
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