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Re: Need advice/ opinions for upcoming brain damage baby case

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  • Jurydoctor@aol.com
    Case goes to trial on Friday!!!!! ... [Non-text portions of this message have been removed]
    Message 1 of 2 , Sep 3, 2002
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      Case goes to trial on Friday!!!!!


      > This is a case about a child who suffered a significant brain
      > injury during his mother's (Kim) labor with him just prior to birth. This
      > was mom's second child. Her first was a scheduled c-section because of
      > breech presentation.
      >
      > Mom was followed throughout her pregnancy by a nurse midwife
      > with a goal of vaginal delivery. This made mom a VBAC (vaginal birth after
      > cesarean), not an essential normal candidate for vaginal delivery because
      > of
      > certain risks, but it is medically accepted and even encouraged today.
      >
      > A week before she is due, mom has a sudden gush of bleeding at home.
      > Her husband drives her to ER where she is met by nurse midwife and is
      > admitted by MD (who doesn't come to hospital). She is admitted and labor
      > is
      > induced next morning by the midwife. Labor progresses and by mid-afternoon
      > the baby shows signs of distress. Midwife doesn't call doctor and doesn't
      > communicate any concern to mom. After a few more hours with rather
      > persistent problematic signs on the fetal monitor, nurse midwife calls the
      > doctor who comes to the hospital.


      Here's the issue:
      >
      >
      > Doctor looks at fetal heart tracings on monitor and says to mom and midwife
      > "You need to deliver this baby. If you don't deliver in the next 15
      > minutes, we will need to proceed to operative delivery." Mom, now in
      > hospital for over 18 hours and in labor for approx 7hours, says "You're not
      > sectioning me. I have come too far. I want to have this baby vaginally."
      > Doctor leaves room without saying anything (He goes to call team for OR).
      > Midwife coaching to push, push, push. No delivery. In 15 minutes, doctor
      > comes back and says, "You're baby is in trouble. You need to have a
      > c-section." Mom immediately consents.
      >
      > What impact does Mom's initial reaction to mention of c-section have on
      > your decision regarding cause of brain injury?



      [Non-text portions of this message have been removed]
    • khristine
      Re: Need advice/ opinions for upcoming brain damage baby case I will put in some calls to a few doctors I know. Let you know as soon as I hear anything. There
      Message 2 of 2 , Sep 3, 2002
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        Re: Need advice/ opinions for upcoming brain
        damage baby case

        I will put in some calls to a few doctors I know.
        Let you know as soon as I hear anything.


        There are three sides to every story, yours, mine
        and the truth.

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