On Sept. 17, 2009 Crystal McFadden was admitted to Northwestern Memorial Hospital in full-term labor. Her care was managed by a team of resident obstetricians under the direction of the defendant, Dr. Jeffrey Dungan, the supervising attending obstetrician.

During the course of her labor, the residents and nursing staff documented late and variable decelerations on the fetal heart monitor with periods of minimal or undetectable variability, but they described the fetal heart tracings as being reassuring overall.

Around 3 a.m. on Sept. 18, 2009, after McFadden had been trying to push for 1.5 hours, the fetal heart tracings became non-reassuring and the senior obstetrician resident called Dr. Dungan to perform delivery. By then the baby’s head was crowning, so the delivery was accomplished with a vacuum extractor. However, the infant was born with no signs of life. The neonatologist in the delivery room stated that the baby appeared to be hydropic with generalized swelling, ascites (accumulation of fluid in the peritoneal cavity), and pleural effusion.

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Iala Suarez was 24 weeks pregnant when she went to her obstetrician, Dr. Michael Coffey, for a regularly scheduled appointment. During that visit, testing showed that she had protein in her urine and high blood pressure. The next day, she went to the Peace River Medical Center, where she underwent a 24-hour urine test and a blood pressure evaluation. Suarez was discharged. The urine test results came back about 30 minutes later showing that she had preeclampsia.

Preeclampsia is a pregnancy condition considered a complication that comes with high blood pressure and signs of damage to another organ system, often the kidneys.

Over the next several days, Suarez saw Dr. Coffey during this time and went to Peace River Medical Center for an evaluation. She continued to experience high blood pressure, increased protein in her urine and restricted fetal growth. She eventually returned to the hospital where she underwent an emergency Cesarean section.

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Stacy Maxberry attempted a vaginal birth after a Cesarean section birth. This is often referred to as “V-back.” During the delivery, the fetal monitor showed repetitive decelerations, a dangerous sign for the unborn child. The obstetrician in charge of the birth was Dr. Matthew Whitted, who was contacted about the repetitive decelerations showing on the fetal monitor. However, Dr. Whitted did not come to the hospital to look at the fetal monitoring strips. Maxberry was told to continue pushing.

When the fetal heart rate patterns worsened, Dr. Whitted was called again. This time he ordered a Cesarean section, which was done 30 minutes later. Stacy Maxberry’s son was stillborn.

She sued Dr. Whitted claiming that he chose not to call for a timely Cesarean section after the first phone call and chose not to evaluate the fetal monitoring strips more closely. In the hour between the first and second telephone call to Dr. Whitted, Maxberry argued that her unborn baby suffered a fatal hypoxic event. The jury agreed and entered its verdict in favor of Stacy Maxberry for the wrongful death of her unborn child at $1.5 million.

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During Tristan Hamilton’s delivery, his mother was given Pitocin to induce labor. The treating obstetrician instructed attending nurses to give no more than 20 milli-units of Pitocin to allow only four contractions every ten minutes. The nurses did not follow those instructions.

Because of the excessive amount of Pitocin given (hyperstimulation) and numbing effect of the epidural, Tristan’s mother was unable to push, prompting the obstetrician to attempt a forceps delivery. The baby then became stuck in the birth canal and the physician completed the delivery using a vacuum extractor.

At birth, Tristan had Apgar scores that were one at one minute and three at five minutes. He suffered brain damage in the delayed delivery. He is now 8 years old and has severe motor dysfunction and is unable to walk or talk.

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Alice Sodjago was in labor when she was admitted to a hospital. The nurse who treated her performed a vaginal exam and noted the presence of heavy meconium. The fetal monitor revealed fetal distress. The nurse contacted a midwife who did not call the on-call obstetrician. About 20 minutes later, the midwife arrived at the hospital and called the obstetrician. Sodjago’s daughter was delivered by Caesarean section almost 40 minutes later.
As a result of oxygen deprivation, the baby, now 8 years old, suffers from cognitive impairment and cortical blindness.

Sodjago and her husband, individually and on behalf of their 8-year-old daughter, filed a lawsuit against the hospital and the midwife claiming that they chose not to perform a timely emergency Caesarean section delivery, which would have saved the baby and prevented the devastating brain damage caused by the delay in delivery.

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On Sept. 5, 2015, Jaclyn Pena-Prather arrived at Sherman Hospital in Elgin, Ill., for an elective induction of labor. She was more than 41 weeks’ pregnant. She was a patient of Dr. Carol Korzen, who practiced obstetrics and gynecology in Elgin.

After admission, an external monitor was applied, and the fetus was continuously monitored throughout labor. At 2:15 a.m. on Sept. 6, 2015, she received an epidural for pain. At 4:45 a.m., a nurse contacted Dr. Korzen to update her on the patient’s progress. Dr. Korzen was present at 7:20 a.m. Pena-Prather was coached to begin pushing. At 8:21 a.m., the baby, Gianna, was delivered vaginally, weighing 6 lbs., 4 oz.

However, Gianna’s Apgar scores were very low. One minute after birth, Gianna’s score was zero. At 5 minutes, her score was 1. At ten minutes, her score was 3. The umbilical cord was described as “thin and shoe-string-like,” and was coiled seven times. Gianna was diagnosed with hypoxic-ischemic encephalopathy (HIE) and metabolic acidosis.

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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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During the birth of Jasmyn Finch, the obstetrician, Dr. Claire Bernardin encountered Jasmyne’s shoulder stuck behind her mother’s pelvic bone or sacral promontory. When a shoulder dystocia does occur during the delivery phase, it is considered an emergency. It is a dangerous occurrence that can be overcome with the use of maneuvers, such as the McRoberts maneuver. Jasmyne suffered shoulder dystocia, but with the help of an assistant, Dr. Bernardin delivered Jasmyne. Unfortunately, Jasmyne was born with left brachial plexus injury.

As a result of the brachial plexus injury, Jasmyne, who is now 19, cannot lift her left arm above her shoulder. In addition, her left shoulder is 8 centimeters shorter than her right arm.

The brachial plexus is a network of nerves that runs from the spine, neck and through the shoulders. In childbirth, when the shoulder gets stuck as in Jasmyne’s situation, the nerves can be stretched or torn and permanently disrupted. Some brachial plexus injuries heal without the need of surgery. But in this case, the injury to the right shoulder was permanent and devastating.

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Illinois lawyers are often confused by the application of attacking motions under two distinct motion practice sections — the Illinois Code of Civil Procedure, 735 ILCS §5/2-615 and §5/2-619. The case decision found in Doe v. The University of Chicago Medical Center points out the distinct differences in how a §2-619 motion to dismiss should be applied. In the well-written article in the Chicago Daily Law Bulletin, May 19, 2015, authored by attorney Brion W. Doherty, Mr. Doherty analyzed the Illinois Appellate Court’s decision in the Doe case, illustrating how §2-619 should be used.

In the Doe case, the plaintiff claimed to have been attacked and injured on her way to her car after working the night shift. The plaintiff had claimed that the University of Chicago Medical Center had promised her that it would it see to her safety in getting her to her car late at night. That was part of her agreement for working the night shift. The plaintiff claimed that her injuries were because the medical center had chosen not to comply with its promise to provide security at night.

In response to the complaint filed against it, the University of Chicago Medical Center filed a motion to dismiss under §2-619. It attached an affidavit by its head of security, which essentially contradicted the factual claims made by the plaintiff. The security part of the dispute was whether the plaintiff followed the hospital’s instructions on how to contact security in case of trouble.

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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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