In today’s article, we will finally discuss nursing interventions and HIE. In my past articles I have talked in general about nursing interventions, but today I am going to give this topic more attention from a medical legal standpoint. For many parents, an HIE, or hypoxic ischemic encephalopathy diagnosis can bring unforeseen challenges. One of the biggest concerns we hear from families dealing with an HIE diagnosis is how will their child meet the challenges this condition creates, not only now in the short term, but also into the future.


If you are at the start of this journey know that there are professionals that you can talk with to get a better understanding of what may have happened during labor and delivery which lead to an HIE diagnosis. As one parent told me, I had no idea that there were people who worked in this area from a legal standpoint.




HIE is a medical condition that in its basic breakdown deals with a reduced level of blood and oxygen which can lead to a brain injury. Doctors and nurses can use a device called the electronic fetal heart monitor to get an idea as to who well a baby is tolerating a vaginal delivery. When doctors and nurses fail to properly interpret the readings on the monitor, problems for the baby can arise, especially if the correct treatment options are not performed or are not performed in a timely manner.


One of the ways a baby can have blood and oxygen related problems during labor and delivery and set up a possible HIE diagnosis is through the constriction, or compression of the umbilical cord. The umbilical cord is responsible for helping a baby get blood and oxygen delivered to the brain. Remember, HIE is a condition that is created through blood and oxygen, or profusion problems.




Nursing interventions and HIE are an important concept when investigating a traumatic brain injury at birth claim for a family. Nursing interventions for intrauterine resuscitation can go a long way in helping when there seems to be problems during a vaginal delivery. However, when conservative measures are not enough, doctors and nurses must be ready to move to other treatment options like an emergency C-section when warranted.


One method that can be used during this time is to turn mother on her side, or a side lying position. This is done to help shift the weight of the uterus and allows for improved uteroplacental blood flow. In addition to turning mom, the use of an O2 mask is another way in which improved oxygen flow can be delivered to the baby.


For some mothers, oxytocin will be used during labor using an IV. Because this medication is used for contractions, discontinued use can help decrease uterine contractions, thus improving uteroplacental blood flow.


Another nursing intervention for intrauterine resuscitation includes providing mom with an IV bolus. This is done to correct problems with maternal hypotension.


The interventions just discussed can be classified as conservative treatment measures. If these measures fail to bring about changes in the baby’s fetal heart reading status, doctors must be ready to move to other measures that can help the baby. Failure to act can lead to a further spiral down into serious blood and oxygen related problems for baby.




If you have more questions about these issues for your baby, pick up the phone and call us. You can reach me at 301-850-4832.


Marcus B. Boston, Esq.

Boston Law Group, LLC

2 Wisconsin Circle, Suite 700

Chevy Chase, Maryland 20815


1-833-4 BABY HELP

Marcus Boston is a Maryland medical malpractice attorney who helps people navigate the Maryland childbirth injury and medical malpractice process to get money for their injuries caused by the carelessness of doctors and hospitals. BLG handles cases in Prince George’s County, Baltimore City, Montgomery County, Howard County, Anne Arundel County, and all other Maryland Counties. blgesq Maryland birth injury attorneys