Talanda Blevins, 38, was admitted to a hospital for an induction of labor. She was attended by obstetrician Dr. James Holzhauer. During her labor, her uterus ruptured, resulting in fetal distress.
Dr. Holzhauer performed a cesarean section, during which it was alleged that Dr. Holzhauer lacerated the patient’s bladder.
She suffered significant blood loss while in recovery, and this was reported to Dr. Holzhauer.
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Lindsey Setzer was 24 years old and fourteen weeks pregnant with her first child. She experienced right-sided flank pain, abdominal cramping and nausea. She went to a hospital emergency room, where a nurse took her vital signs, which showed that she had an elevated temperature and a high pulse rate of 144.
After an ultrasound, Setzer was diagnosed as having kidney stones and discharged. Early the following morning, she went to a different hospital; this time she was diagnosed as having sepsis and respiratory distress. She underwent placement of a ureteral stent and suffered a spontaneous abortion during the procedure.
She continues to suffer chronic fatigue and memory issues resulting from the sepsis and has been diagnosed as having post-sepsis syndrome.
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This was a case involving claims of birth injury and medical negligence-wrongful death. Plaintiffs Abraham J. Eoff and Crystal M. Eoff, on behalf of Sophee R. Eoff, deceased, appealed the trial court’s judgment entered in favor of the defendant, Jennifer K. McDonald, D.O. and Seasons Healthcare for Women, P.C., following a jury trial. The Eoffs claimed that the trial court erred by denying them the right to ask “the insurance question.”
The Circuit Court of Appeals reversed and remanded for a new trial.
“Appellants brought claims for medical negligence against Respondent based on allegations that Respondent Dr. McDonald caused the decedent’s death in which he used a vacuum extractor improperly during labor and delivery of Crystal Eoff. Appellants learned that Respondents maintained a medical malpractice liability policy with Missouri Doctors Mutual Insurance Company (MDMIC) . . .”
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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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Zoila Fuentes Medina was admitted to the Brooklyn Hospital Center to deliver her baby. During her prenatal treatment at the hospital’s high-risk clinic, concerns were raised about possible macrosomia. Macrosomia is a condition in which a fetus has a predicted birth weight of more than 8 lbs. 13 oz. Suspected fetal macrosomia is not an indication for induction of labor. Induction in a macrosomia condition does not improve maternal or fetal outcomes.
A sonogram taken before her admission revealed that her baby was above the 90th percentile in size. First-year resident Dr. Patrick Ellis attended to the delivery under the supervision of on-call physician Dr. Yves Richard Jean-Gills.
Medina’s baby became caught on her pubic bone when delivery was attempted. Dr. Ellis applied extreme force to the baby’s head and neck. As a result, the baby suffered a brachial plexus injury that resulted in permanent Erb’s palsy.
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A premature Baby Doe, at 30 weeks’ gestation, was delivered at Conemaugh Memorial Medical Center. Shortly after her birth, Baby Doe was diagnosed as having a right-sided cephalohematoma, which was confirmed by a CT scan.
A cephalohematoma is a collection of blood that occurs underneath the skin in the periosteum of an infant’s skull bone. Cephalohematoma does not pose any risk to the brain, but it causes unnecessary pooling of the blood from damaged blood vessels between the skull and the interlayers of the baby’s skin. In almost all cases, a cephalohematoma will go away within weeks or months. It usually appears as a bump on a baby’s skull.
The defendant neonatologist, Dr. John Chan, diagnosed Baby Doe as having a subgaleal hemorrhage and ordered that the baby’s head be wrapped with an ACE bandage as a pressure dressing.
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Katie and Michael Smith were expecting their sixth child when an examination showed that there was an absence of a fetal heartbeat. Katie Smith later delivered the fetus at Maine General Medical Center.
Tissue samples from the chromosomal testing were taken in the presence of the parents and the couple stated unequivocally to an attending physician that they did not want other samples taken from the baby’s body or additional procedures performed.
Nevertheless, pathologist Carol Saunders later removed a tissue from the baby in the pathology lab, leaving a large, gaping hole in the left side of the body. The Smith family discovered this deformity caused by the pathologist when they went to a funeral home to view the baby’s remains.
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Baby Doe, a twin, was born at 32 weeks gestation. Baby Doe was admitted to a hospital’s NICU where she remained in stable condition for several days.
Baby Doe developed a low-grade fever, tachycardia and irregular breathing. The next day, Baby Doe’s condition worsened. Her oxygen saturation dipped down to 78 percent, her glucose dramatically increased and her physical movement decreased.
A blood culture led to a diagnosis of bacterial infection, for which Baby Doe was given antibiotics. Within two weeks, Baby Doe was diagnosed as having a brain abscess and underwent surgery.
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More than a few studies have been conclusive showing that infants with hypoxic-ischemic encephalopathy have benefited when cooled to a temperature of 30 degrees Centigrade in a median time of 58 minutes. The cooling of newborns inspired oxygen requirements in a test involving six infants diagnosed with HIE.
Five of those infants required inotropic support during the cooling procedure. The cooling would be progressively reduced after 1-2 days. Inotropic support is the intensive care of newborns to stabilize circulation and to optimize oxygen supply.
Over the years, HIE has been recognized much more frequently. The onset of cases of HIE are caused by stroke, compressive forces or changes in oxygen circulating through the fetus before and immediately after delivery.
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