Delay in C-Section
Did A Failure To Perform A C-Section Or A Delay In Performing A C-Section Cause Your Baby’s Birth Injury?
One of the main causes of a birth injury can be due to the failure, or delay in performing a C-Section. There are many factors which go into making the determination as to whether to perform a C-Section and when the procedure should be done. Doctors must pay close attention to mother and baby during the labor and delivery. In some cases, the mother’s medical history will be an important factor to be weighed in determining the proper course of treatment.
Injuries can occur when doctors fail to identify information that alerts them to act, and they do not act. A main area of concern is when the baby’s fetal heart monitor strips display that the baby is no longer handling the vaginal delivery and there is a failure to perform a C-Section, or there is a delay in performing the procedure. Standard of care issues will present themselves if a reasonable and prudent doctor, under the same set of circumstances, would have acted in a different way than the treating doctor, and this departure from the standard of care is what caused the injury in baby and/or mom.
The type of medical event the doctors are facing will determine whether there is a need for a C-Section. Injury can occur when doctors should rescue the baby but instead decide to prolong mother’s labor or have her to continue to “bear down” and push through with a vaginal delivery. In addition, injury can also occur when doctors allow the labor and delivery to go on too long, and then decide to perform a C-Section. In these cases, sometimes the birth injury has already occurred, and the injury is due to the delay in performing the C-Section.
Why Is The Electronic Fetal Heart Monitor Important In A C-Section Analysis?
The electronic fetal heart monitor (EFM) is a device used during labor and delivery to help determine the wellbeing of the baby. One of the important things that the EFM does is monitor the baby’s heart beats and rhythm, and the mother’s contractions, among other things. As mother goes through labor and delivery, the EFM will display the reading on a strip. In some cases, the doctors and nurses might make notes on the strip to help with monitoring.
One of the common ways in which the EFM is done using an ultrasound transducer attached to the mother’s abdomen. The transducer sends readings to a machine which records the printout of the baby’s heartbeats and the mother’s contractions. From these readings, doctors and nurses can determine the heath and wellbeing of the baby.
When Should Doctors Perform A C-Section?
The type of medical situation the doctor is dealing with will determine if a C-Section is needed. Therefore, early detection of possible medical issues and good attention to mother and baby go a long way to help prevent injury. Below are some of the conditions which can require a C-Section:
Uterine Rupture: Uterine rupture is when the uterus detaches. This is a serious medical emergency in the delivery room because it can lead to massive blood loss in the mother. This blood loss can then result in a decrease in the blood and oxygen for the baby, causing a brain injury.
Failure Of The Labor & Delivery To Progress: As the bullet point suggests, mother does not move through the stages of labor.
Cord Prolapse: A cord prolapse occurs when the umbilical cord is delivered before the baby. Umbilical cord compression is a serious threat of injury to the baby, which can lead to a brain injury.
Placenta Previa: When the placenta covers the cervix, this is called placenta previa.
Placental Abruption: Placental abruption occurs when the placenta detaches from the uterus. Again, this is a medical emergency which can lead to a brain injury in the baby.
Fetal Distress: Fetal distress occurs when the baby’s heart rate is too low (bradycardia) for a considerable amount of time, or too high (tachycardia) for a considerable amount of time. The electronic fetal heart monitor can reveal these situations, among other things (late decelerations, minimal variability, etc…). The strip can move from a Category I (Normal) strip to a non-reassuring Category III (Abnormal) strip. Once fetal distress is present, oxygen depravation and fetal hypoxia, or hypoxic ischemic encephalopathy must be considered. Cerebral palsy can be the result of a HIE event.
Do You Suspect A Failure To Perform A C-Section Or A Delay In Performing A C-Section Caused Your Baby’s Brain Injury Or Cerebral Palsy Diagnosis?
When doctors fail to act timely on a C-Section, injury to the baby can occur. Some birth injuries can be avoided when doctors move promptly with a C-Section when the situation dictates. If your baby has been diagnosed with hypoxic ischemic encephalopathy and/or cerebral palsy, and you think that a delayed C-Section, or failure to perform a C-Section is the cause, know that there are individuals who you can speak with regarding the challenges that your child will have in the future. The attorneys here at Boston Law Group, LLC handle birth injury cases in all the counties throughout Maryland, namely:
Boston Law Group, LLC represents victims of birth injury and medical malpractice throughout Maryland. We can help victims in:
Prince George’s County
Anne Arundel County
St. Mary’s County
The delay to perform, or failure to perform a C-section is one of the main ways a child can suffer a brain injury at birth.
If you think this is the cause of your baby's brain injury, don’t leave your child’s future challenges to chance.
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