The Way Holdup In Delivery Of Child Can Occur From Nurse And Physician Lack Of Information Exchange
It is not uncommon for a physician to be absent during portions of the womans labor
. During those periods of time a nurse is often supposed to track the situation and accurately and immediately communicate any issues to the physician . A lack of communication can lead to a delay in reacting to a serious complication. And the nurse ought to be willing to get a consultation from another doctor if the one in charge does not make it to the hospital in a timely fashion to deal with the complication. Consider the outcome from this type of situation as shown by the allegations made in the documented lawsuit examined in this article.The case was described as follows: a woman was admitted to the hospital by her physician for the delivery of her child. The woman was 11 days past her due date. The tracings from the fetal heart rate monitor showed no abnormalities. The physician used a gel to start her labor which is correlated with a hyperstimulation of the uterus and sometimes with a placental abruption. Briefly after that the mother experienced a prolonged contraction lasting several minutes. Throughout that time the baby's heart rate slowed down suggesting that the baby wasn't fetal distress. Now a drug was used to try to relax the uterus. Oxygen was administered. The mother was supplied with fluids. Her labor was not far enough along yet so the physician was informed by telephone about the womans status. Despite being told about these issues, the doctor decided there was no need to go back to the hospital.
As labor progressed the woman's contractions came quicker. The baby's heart rate was showing variable decelerations. The staff once again administered the drug meant to relax the uterus and once more contacted the doctor. The baby's heart rate by this point showed that the baby was in severe distress. Even though the conditions at this point required urgent action it took essentially another hour for the doctor to make an appearance. Shortly after that the fetal heart rate went down as low as 50 beats per minute. When this happened the doctor finally decided to deliver the baby with a C-section - at which time it was determined that the woman had experienced a placental abruption. This had severely restricted the flow of oxygen to the baby.
Once the baby was finally delivered, he was not breathing on his own and had a barely registering heart rate. He was placed in NICU and intubated. Having gone for a lengthy period of time with a restricted supply of oxygen lead to brain damage and the development of cerebral palsy. Given the injury and cerebral palsy, the child will require medical care during his full live. He will also need life care assistance around the clock. He is not able to talk. He is not able to walk on his own.
The parents went forward with a medica malpractice claim against the physician, the nurse and the hospital involved in the mother's labor and the baby's birth. The law firm that handled the matter reported that the case settled for a settlement was reached for the sum of $5,000,000for the family.
One of the main mistakes in this situation was made by the doctor who took too much time to go to the hospital and deliver the baby. The other mistake was made by the nurse who waited for the doctor in charge of the womans care rather than call in another doctor. The doctor and nurse blamed each other for what happened. The physician took the position that the situation was not fully related to him during the initial call from the nurse. The physician claimed that it had been he would have to return to the hospital right away and would have done the C-section at that point. The nurse took the position that the physician had been fully informed but had chosen not to return to the hospital until receiving the second phone call.
Only the doctor and nurse actually know what transpired when they spoke on the phone. What is clear is that the doctor was missing during a critical period and that the nurse waited without bringing in another doctor. The outcome: a child who suffered a devastating injury and now has a disabling impairment that is reversible.
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