Articles Posted in Labor and Delivery Negligence

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During the delivery of Gwendolyn E., her shoulder became stuck or she encountered shoulder dystocia. Shoulder dystocia is a term used when the baby’s shoulder gets stuck behind the pelvic bone of the mother during delivery. Because of the shoulder dystocia involving Gwendolyn’s delivery, the attending obstetrician, Dr. Miguel Carbonell, applied traction.

As a result of the traction, Gwendolyn suffered a brachial plexus injury, which required many surgeries. She is now 6 years old but has limited use of her left hand because of the nerve injuries to the brachial plexus. The brachial plexus is a network of nerves that runs from the spine to the neck to the shoulders. During a shoulder dystocia delivery, the baby can have those nerves stretched or torn, which results in very serious mobility injuries to the shoulder, arms and hands.

Gwendolyn’s mother filed a lawsuit against Dr. Carbonell and the employer, Associates for Women’s Health of Southern Oregon, alleging use of excessive traction.

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H.D. was admitted to a hospital in labor. The nurses and midwife observed H.D. throughout the night without any notable changes. However, early the next morning, the fetal monitor showed non-reassuring signs of the unborn child. No one consulted an obstetrician or warned a doctor about the non-reassuring signs.

About six hours later, H.D. delivered her son; he was born with the umbilical cord wrapped around his neck three times. The hospital’s resuscitation team was attending to another patient, which resulted in an 8-minute delay in having the child intubated.

As a consequence, the baby suffered severe brain damage. He is now 6 years old and has cerebral palsy, developmental delays and a seizure disorder.

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In a confidential settlement, the parties agreed to $1,250,000 for the unfortunate death of a newborn infant. In this case, before the mother’s scheduled Caesarean section, the mother underwent three transplacental amniocenteses to assess her baby’s lung maturity. The purpose of a transplacental amniocentesis is to compare transplacental with non-placental amniocentesis because of possible complications.

Amniocentesis is a frequently used invasive procedure during a woman’s pregnancy guided by ultrasound to remove a sample of amniotic fluid for testing. The procedure requires specialized medical or assistant training. Amniocentesis is a technique for withdrawing amniotic fluid from the uterine cavity using a needle.

The fluid is then tested in a laboratory to determine the health of the unborn fetus. The fluid is composed mostly of fetal substances including urine and secretions. Many times amniocentesis is done to determine whether there are genetic difficulties or to study the maturity of the unborn fetus’s lung maturity. There are risks involved with the transplacental amniocentesis, which occurred here. There was fetal bleeding from an alleged placental abruption that may have been caused by the amniocentesis procedure.

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In 2008 a study was published that focused on uncomplicated pregnancies. The question was whether to induce labor in women whose gestation had reached 41 to 42 weeks. It was revealed that inducing labor in women who have reached 41 weeks of pregnancy and who were otherwise low-risk showed the condition of the baby at birth to be favorable. The goal of obstetricians was to ensure the successful delivery of the baby before 42 weeks of gestation — for the benefit of the baby and mother.

The study suggested that there was an improvement in prenatal outcomes as a result of a more proactive post-term (more than 39 weeks) labor induction practice.

This guideline has shown that there was a significant reduction in the number of stillborn infants at term, 39 weeks of gestation. In addition to this conclusion, it was found or suggested that maternal deaths were also improved with proactive labor induction.

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On March 1, 2011, Jamie Rae was in induced for labor at 39 weeks gestation due to the large size of her baby. The defendant obstetrician, Dr. James Riva, did a vaginal delivery of the baby, Bailei Rae, at a hospital in Maryville, Ill.

During the course of the delivery of Bailei, a shoulder dystocia occurred involving the anterior presenting shoulder. That means that the baby’s shoulder was stuck on the pelvic bone of her mother, Jamie Rae. While performing maneuvers to relieve the shoulder dystocia, Dr. Riva allegedly exerted excessive traction on the baby’s head, causing a 5-level cervical nerve root injury including a complete avulsion at C-8.

As a result, the 9 lbs 2 oz newborn baby, Bailei Rae, sustained a brachial plexus injury to the posterior shoulder with permanent nerve root damage and Erb’s palsy in the left arm.

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The baby, Zoey Stavrou, was delivered by Cesarean section at Edward Hospital in DuPage County, Ill., at 12:25 a.m. on May 14, 2006. She had Apgar scores at 0 at 1, 5 and 10 minutes. At the time of the delivery, a 9-centimeter umbilical cord hematoma was discovered, which had occurred as a result of a ruptured umbilical vein.

Zoey is now 8 years old and has severe cerebral palsy. She is non-verbal and has no functional mobility. She has the cognitive level of a 6-9 month infant and is dependent for all activities of daily living.

Zoey’s family contended that the defendant delivering physician and labor and delivery nurses chose not to properly interpret and act upon non-reassuring fetal monitor strips throughout the evening of May 13. They also contended that the emergency C-section should have been ordered around 9 p.m., but the defendant obstetrician, Dr. Chen, negligently waited until midnight to order the C-section. It was also claimed that Dr. Chen did not perform the incision for the C-section until 12:19 a.m. and the child would have been born neurologically intact if she had been delivered before 12:08 a.m.

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