Articles Posted in Obstetrician Negligence

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The use of fetoscopy was first developed in the 1990s. The process involves ultrasound-guided placement of a stethoscope – a small, fiber optic instrument – in the uterus to see the fetus and the placenta.

Fetoscopy as a surgical procedure can treat various fetal conditions including congenital diaphragmatic hernia and bladder outlet obstruction. Its most common use is the treatment of a rare condition, Twin-Twin Transfusion Syndrome (TTTS).

The condition of TTTS occurs when identical twins share a placenta with blood vessel connections that cause blood to flow unevenly between the two fetuses. According to the article, “Caught on Camera” by attorney Jeffrey B. Killino, one of the fetuses develops a small amniotic sac while the other sac becomes too large. Laser fetoscopy allows the laser to break up and collapse these blood vessel connections. Reportedly, if the condition is not treated, both of the fetuses can die. TTTS occurs in approximately 1 in 2,500 pregnancies. It is expected that there will be a rise in TTTS occurrences because of the increase in fertility-assisted pregnancies.
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Shunteria McIntyre, 20, received prenatal care from Dr. Orlando Muniz. Over a three-month period, she lost 26 pounds and complained of nausea and vomiting while visiting Dr. Muniz. She suffered additional weight loss later as well.

After eventually delivering a still-born baby, McIntyre died at her home. The cause was determined to be septicemia, acute diarrhea, and intrauterine fetal demise.

McIntyre’s personal representative brought a medical malpractice and wrongful death lawsuit against Dr. Muniz among others. The trial court dismissed the case reasoning that McIntyre’s pre-suit medical expert was not qualified to provide expert opinion testimony under Florida law and that McIntyre also chose not to comply with the pre-suit discovery process for medical malpractice claims under Florida law.
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Grayson Charlton, a twin, was in the breech position at the time of her delivery at Delaware County Memorial Hospital. The treating obstetrician, Dr. Steven Troy, allegedly applied traction to deliver Grayson, resulting in a popping sound. After the delivery, Grayson was diagnosed as having suffered a spinal cord injury and avulsed nerve roots to her right arm.

Grayson is now 5 years old and is paralyzed from the chest down requiring her to be confined to a wheelchair. Grayson has undergone extensive physical and occupational therapy.
Grayson’s parents, individually and on Grayson’s behalf, sued Dr. Troy, the hospital and two health networks under an agency theory, claiming liability for Dr. Troy choosing not to prevent the baby’s head from becoming hyperextended during the delivery.

The Charlton family experts testified that Grayson’s injuries could have occurred only after application of excessive longitudinal traction.
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On July 8, 2003, Madison Drake was delivered by obstetrician Dr. Timothy Durkee at Swedish American Hospital in Rockford, Ill. During the vaginal delivery of this newborn, a shoulder dystocia was encountered. Essentially that means that the baby’s shoulder was caught or stuck on the mother’s pubic bone. Dr. Durkee used the McRoberts maneuver with suprapubic pressure to finish the delivery of the baby.

Madison’s mother, Nicole Drake, consented to vaginal delivery, but claimed that she requested a C-section several times during her labor.

Madison suffered a left humerus fracture, brachial plexus injury, and a mild hypoxic brain injury that left baby Madison with cognitive deficits and executive function impairment. The brachial plexus injury would most likely have been caused by the effort to dislodge the baby’s shoulder that was stuck on the mother’s pubic bone.
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The United States government has withdrawn its appeal after a U.S. District Court judge in Pennsylvania signed a judgment order in the amount of $42 million for the parents of a young boy who was disabled from brain injuries apparently caused by the use of forceps during his birth.

Regan Safier, the attorney for the family of the minor child, identified only as D.A., commented that the government found that an appeal of the judgment would not be successful.

The U.S. attorney, David J. Freed said, “We respect the court’s decision in this matter and wish nothing but the best for the minor child and his parents.” The verdict of $42 million was entered in Harrisburg, Penn., after a 6-day trial in 2016.
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Maria Gabriel-Gelin, 35, was admitted to a hospital to deliver her fourth baby by Cesarean section. During labor and delivery, the treating obstetrician noted that she had an atonic uterus and a hole in her small bowel, which needed to be surgically repaired. She also suffered from anemia.

She lost a substantial amount of blood during the delivery and was later transferred to the post-anesthesia unit of the hospital under the care of obstetrician Dr. Shobha Sikka.

That evening, nurses paged Dr. Sikka and reported that the patient was experiencing heavy vaginal bleeding. Dr. Sikka noted that despite medication, Gabriel-Gelin’s uterus was again atonic. An atonic uterus most often occurs because of over-distention or as the result of multiple pregnancies. An atonic uterus is a major cause of postpartum hemorrhaging. The word “atonic” means loss of muscular tone or strength to contract.
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In an effort designed to increase the chances of conception, Lacy Dodd underwent surgery to remove ovarian cysts and potentially one fallopian tube. During this surgery, her physician, Dr. Randall Hines, discovered that both of her ovaries appeared to be abnormal to the extent that they seemed to be cancerous.

Because of the seriousness of that diagnosis, Dr. Hines consulted, intraoperatively with his colleague, Dr. Paul Seago.

Dr. Seago concluded that both ovaries lacked any appreciable amount of normal tissue, which made them both highly suspicious for malignancy. Dr. Seago recommended that it was in Dodd’s best interest to remove both ovaries. Dr. Hines agreed and removed the ovaries.
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The defendant, Edward Hospital, claimed that certain of its internal documents were confidential and that the Circuit Court of DuPage County, Ill., should not have ordered it to produce them during the discovery in a lawsuit for a medical malpractice and wrongful death. Edward Hospital insisted that the Medical Studies Act (735 ILCS 5/8-2101 et seq. (West 2014)) protects those documents from disclosure. The Illinois Appellate Court affirmed, holding that the trial judge was correct in that all documents at issue must be produced.

On Oct. 13, 2013, the plaintiff Abigail Kiersten Grosshuesch was admitted to Edward Hospital 30 weeks pregnant. Her baby, Isabella Kitsen Zormelo, was born the same day. Baby Isabella suffered from numerous medical issues, including necrotizing enterocolitis. Unfortunately, Baby Isabella died on Nov. 1, 2013.

In December 2013, Grosshuesch contacted Edward Hospital’s patient advocate and expressed concern about the care and treatment rendered to her and Isabella. Pursuant to Edward Hospital’s medical staff quality committee (MSQC) charter and its peer review policy (both enacted in 2008), the plaintiff’s concern in conjunction with Isabella’s death constituted “review indicators” resulting in a referral to the MSQC.
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During the delivery of the newborn in this case, the fetal monitor of the fetus indicated non-reassuring signs over the course of several hours, including heart rate abnormalities. In this summary of the case, the baby is Baby Doe. This was a confidential settlement in which the parties were identified as Doe, being the mother of the newborn, Baby Doe and Roe, being the physician, the obstetrician and hospital that were sued.

The mother of Baby Doe experienced uterine tachysystole. Uterine tachysystole is defined as six contractions in a ten-minute period.There have been many studies as to whether more than six contractions over a ten-minute period within the first four hours of labor induction is associated with adverse infant outcomes. However, six more contractions in ten minutes were significantly associated with fetal heart rate decelerations.

A nurse at the Roe hospital notified the treating obstetrician who allegedly reviewed the monitor strips but did not re-examine Baby Doe’s mother.Baby Doe was born in a depressed condition with Apgar scores of 3 at one minute and 6 at five minutes.
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Kimberly Williams went into labor at 20 weeks’ gestation. Full-term gestation is generally 39 weeks. She was admitted to Sinai Grace Hospital where she delivered a stillborn boy at the facility’s labor and delivery unit.

Later, Williams requested a repeat ultrasound. The treating obstetrician, Dr. Charlene Williams, declined to order the test and instead gave Cytotec to deliver the placenta.

The use of Cytotec is used to reduce the risk of stomach ulcers caused by nonsteroidal anti-inflammatory drugs for pregnant women. Significantly, Cytotec may cause abortion, premature birth or birth defects if taken during a pregnancy.
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