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Failure To Recognize Signs Of Placental Abruption Results In Baby's Brain Injury

Failure To Recognize Signs Of Placental Abruption Results In Baby's Brain Injury

A placental abruption is a complication in which the placenta that holds the baby separates from the expectant mother's uterus

. This is a dangerous problem that may put the unborn baby at risk of severe harm and death if a doctor or nurse does not act right away. It is often accompanied by several symptoms - the most telling of which are persistent vaginal bleeding, extreme abdominal or back pain, and continuous contractions. Should a pregnant woman suffers an abruption late in the pregnancy immediate action, such as an emergency C-section, may need to be taken to protect the well being of her unborn child.

An expectant mother arrived at the hospital in early stages of labor. She, who was only nineteen years old, was admitted to the hospital with continual abdominal pain. After examining her the obstetrical nurse documented that the mother had constant uterine contractions and a hard abdomen.

Not long after the young pregnant woman started having heavy vaginal bleeding that. needed continuous replacing of towels to soak up the blood. The nurse showed the woman where the linen closet was located and told her that she needed to get towels from the closet and use the towels to soak up the blood on her own, however the nurse did not notify a physician of the situation.

Some four to five hours following her admission to the hospital, the expectant mother began having severe pain. Now there were two symptoms that are highly suggestive of a placental abruption.The nurse responded by administering pain medication. Within five minutes of this, the fetal heart rate monitor showed that the baby's heart rate had gone flat.The nurse merely saw this development not as a ominous sign that the baby was in a highly dangerous condition but as a reaction to the pain medication given to the expectant mother. The nurse failed to contact a doctor until fifty minutes after the fetal monitor went flat.Failure To Recognize Signs Of Placental Abruption Results In Baby's Brain Injury


Once a doctor was called in the doctor found meconium and noted that the baby's heart rate showed progressive deep decelerations. The attending obstetrician then performed an emergency C-section. There was no anesthesiologist available at the time and so the doctor performed the C-section administering only local anesthesia. During the procedure, the doctor noted that an abruption had occurred. The baby exhibited signs of hypoxic-ischemic encephalopathy - (damage caused to the central nervous system due to a lack of oxygen) which testing later confirmed. The child was later diagnosed with developmental and mental retardation.

A malpractice lawsuit was filed on behalf of the parents and the child alleging that the damage to the child was preventable had the nurse recognized that there was a serious complication in the pregnancy and notified a physician of the situation. He has a life expectancy into the 40's. But, in an attempt to reduce the value of the case, the defense argued he would only have about 10 years. The child needs occupations therapy, speech therapy, and physical therapy. The law firm that represented the family revealed that they were able to reach a settlement in the amount of $1,100,000. Of that amount, $60,000 was for the parents. The rest, partly paid as a cash payment and the rest as a structured settlement, was for the child.

by: Joseph Hernandez
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