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Doctor Fails To Detect Umbilical Cord Compression And Newborn Suffers Brain Injury

Doctor Fails To Detect Umbilical Cord Compression And Newborn Suffers Brain Injury

Pregnancy brings with it the risk of problems a number of of which can

, if not detected and treated promptly, result in considerable harm to the unborn child and the mother. An umbilical cord compression is an especially significant risk to the unborn child. This problem develops when undue pressure is placed on the umbilical cord. Circumstances under which this happens include when the cord slips into the birth canal and becomes compressed as the baby descends, or when the umbilical cords becomes wrapped around the babys neck (called a nuchal cord). The pressure on the cord creates a restriction of the supply of necessary blood and oxygen.

One of the indicators that can follow a a cord compression is a slowing down of the babys heart rate. The slowing down often comes in waves or episodes referred to as decelerations. Because an unborn baby cannot survive long without suffering a severe brain injury or even dying, the necessary supply of oxygen needs to be restored right away. Sometimes it is possible to resolve the complication by merely repositioning the pregnant woman to lower pressure on the cord, or by giving her oxygen and fluids If the pressure cannot be sufficiently alleviated, however, an emergency C-section might be required.

The failure on the part of a physician or nurse to identify the signs of a cord compression and to immediately take proper action to resolve the situation or deliver the baby might result in a medical malpractice claim. Consider, for example, the lawsuit that was filed after a pregnant woman, at full term, went to the hospital as scheduled in order to be induced for labor. The staff administered Pitocin to induce labor. Following the administration of the drug, the fetal heart rate monitor showed multiple umbilical cord compressions as decelerations of the unborn babys heart rate. The staff repositioned the mother after which the babys heart rate returned to normal.

At one point, the woman had to use the bathroom at which point the obstetrics resident disconnected her from the fetal heart rate monitor. The monitor stayed disconnected for an entire elevent minutes. During this period, the cord was compressed and the baby's supply of oxygen was severely restricted. Because of that, the baby experienced from asphyxia which left the baby with mental retardation and with cerebral palsy.Doctor Fails To Detect Umbilical Cord Compression And Newborn Suffers Brain Injury


No settlement was achieved in this matter and so the case went to trial. At the trial evidence demonstrated that leaving the fetal heart rate monitor disconected for those eleven minutes given that the unborn baby had experienced a series of heart rate decelerations amounted to medical malpractice. Basically, it came with too high a risk that there would be further umbilical cord compressions that would not be identified and thus would not, and indeed did not, lead to the application of additional procedures like further position changes and, if necessary, an emergency C-section that could have prevented the child from suffering brain damage. The law firm reported that the jury awarded $15.8 million for the family.

by: Joseph Hernandez
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Doctor Fails To Detect Umbilical Cord Compression And Newborn Suffers Brain Injury