July 31, 2009

Maryland Birthing Malpractice: Expansion of Consent Doctrine Restores $13 Million Cerebral Palsy Verdict

The decision by Maryland’s highest court to extend the doctrine of informed consent to doctors’ talks with patients about medical options has resulted in the reinstatement of a $13 million birthing malpractice verdict to a mother whose son was born with cerebral palsy. Peggy McQuitty and Dylan filed a Baltimore County medical malpractice lawsuit against Dr. Donald Spangler, their obstetrician in September 2001.

They accused Spangler of failing to tell her when she was 32 weeks pregnant, and an abnormality had been detected during an ultrasound, that if she had an immediate C-section her baby might be born healthy. McQuitty then experienced a complete uterine abruption several days later and had to undergo an emergency C-section.

A jury ruled issued its Maryland medical malpractice verdict in the plaintiffs’ favor. The judge, however, allowed the defendant’s request for judgment not withstanding verdict and noted that the doctrine of informed consent only applies to “affirmative violations of the patient’s physical integrity,” not the doctor’s inaction.

Maryland’s Informed Consent Law
The state’s law of informed consent requires a doctor to discuss a proposed procedure with a patient, explain the procedure to him or her, as well as provide information about possible risks so that the patient can make an informed decision. The physician cannot treat the patient without his or her consent.

In a unanimous decision, however, Maryland’s highest court held that under the informed consent doctrine doctors must not only tell patients about the risks of having surgery but they also must inform them of possible repercussions if they decide to not undergo a specific medical procedure.

Top court expands informed consent doctrine, The Daily Record, July 24, 2009

Related Web Resources:
Medical Malpractice, Justia

Cerebral Palsy

Related Web Resource:

June 3, 2009

$3,991,000 Million Maryland Cerebral Palsy Verdict Awarded to Family

In Maryland, a jury awarded the family of Ryan Dineen $3,991,000 for their cerebral palsy lawsuit. Ryan is now 9.

His family’s Maryland cerebral palsy lawsuit accuses medical staff members at Frederick Memorial Hospital of medical malpractice related to Ryan’s birth in May 2000. Named as defendants in the civil complaint were the hospital, three nurses, and three doctors. However, the jury found only two doctors, Dr. Brian Raider and Dr. Edward Chen, negligent for Ryan’s birth injury.

According to the Maryland birthing malpractice lawsuit, Suzette Dineen, an Adamstown resident, was 36 weeks pregnant with Ryan when she was admitted to the Maryland hospital for vomiting, abdominal pain, and diarrhea. She claims that after she arrived at the hospital, staff members failed to properly monitor her baby’s fetal heartbeat.

The complaint contends that even though Rader, who was the emergency room doctor, and Chen, who is an obstetrician, were told about Suzette’s condition, both men never came to see her. It wasn’t until 3 hours after she arrived at the hospital that the medical team noticed that her baby’s heart rate was too low and they performed an emergency cesarean birth.

Ryan had no heart rate and wasn’t breathing when he was born. Doctors were able to revive him but he sustained permanent brain damage and lifelong disabilities and now suffers from cerebral palsy.

The Maryland jury awarded Ryan and his family $2,941,000 for medical costs—both past and future--$300,000 for pain and suffering, and $750,000 for lost wages.

Cerebral Palsy
The resources required to care for someone with cerebral palsy can be quite costly—especially if the person has had the condition since birth. Many people with cerebral palsy need full-time professional care and assistance to help them complete daily tasks. This is one reason why it is so important that you explore your legal options for recovery if your loved one has cerebral palsy because of birthing malpractice.

Frederick jury issues multimillion-dollar award in malpractice suit, Frederick News Post, June 3, 2009

Maryland Cerebral Palsy Lawsuit Results in $4M Award, About Lawsuits, June 3, 2009


Related Web Resources:
Cerebral Palsy, A Guide for Care

Cerebral Palsy and Special Needs Children's Organization

February 20, 2009

Parents of Baby who Suffered from Permanent Brain Injury Awarded $4.4 Million for Birthing Malpractice

A jury has ordered a US hospital to pay the parents of Sierra Wilson, a baby who sustained permanent brain injuries at birth, $4.4 million for birthing malpractice. According to the family’s medical malpractice lawsuit, Sierra, who was born in 2003, suffered a lack of oxygen during birth that caused her to sustain a permanent birth injury. She died in February 2008.

The complaint also contends that a nurse trainee assigned to her mother’s care at Piedmont Medical Center neglected to correctly monitor the fetal heart strips and, as a result, did not realize that Sierra was in fetal distress and needed to undergo an emergency procedure as soon as possible.

According to Sierra’s family, she was never able to talk, walk, or eat solid food throughout the duration of her short life and spent a great deal of time undergoing occupational therapy, speech therapy, and physical therapy. Her parents and two siblings say they worked hard together to take care of her.

Following the announcement of the jury verdict, the hospital expressed surprise at the outcome and continued to maintain that their staffers provided Sierra and her mother with quality care and acted appropriately at all times.

Cerebral Palsy
Cerebral palsy is a permanent condition that affects muscle coordination and body movement. Some signs of cerebral palsy include spasticity, inadequate muscle coordination when making voluntary motions, tight muscles, stiff muscles, a crouched gait, dragging one foot or leg while walking, and floppy or stiff muscle tone. Birthing errors made by medical staffers before, during, or right after delivery can sometimes result in a baby becoming afflicted with Cerebral palsy.

Couple Says $4 Million Verdict Is Justice For Late Daughter, WSOCTV.com, February 17, 2009

Jury awards $4.4M against hospital, Herald Online, February 17, 2009


Related Web Resources:
Cerebral Palsy

Birth Injuries

November 1, 2006

In Maryland, Both Sides Rest Their Case In The Baby Caleb Birth Injury And Wrongful Death Suit

In Maryland last week, attorneys for both sides in the wrongful death suit of Baby Caleb rested their cases. Caleb Taylor's obstetrician, Dr. Jason Evans, is accused of negligence during the baby's delivery in 2004. The prosecution claims that Dr. Evans waited too long before performing a c-section on Caleb's mother Casey. A jury will be asked to determine the amount of compensation for the suffering and loss caused by Caleb's death. He was born with severe complications and died nine days after his birth. The defense claims that Evans could not perform the c-section until the anesthesiologist arrived at the hospital.

The state of Maryland has a wrongful death cap of $885,000.

A birth injury or trauma is an injury that happens to a baby during birth. A delay in delivery of a baby can cause profound injury to a child due to oxygen deprivation. These injuries include damage to the brain, cerebral palsy, erbs palsy, and other physical and neurological injuries.

Other common birth injuries:

· Caput Succedaneum:
Caput is a severe swelling of the soft tissues of the baby's scalp that develops as the baby travels through the birth canal. Some babies have some bruising of the area. The swelling usually disappears in a few days without problems. Babies delivered by vacuum extraction are more likely to have this condition.

· Cephalohematoma:
Cephalohematoma is an area of bleeding between the bone and its fibrous covering. It often appears several hours after birth as a raised lump on the baby's head.

· Bruising/Forceps Marks:
Some babies may show signs of bruising on the face or head simply as a result of the trauma of passing though the birth canal and contact with the mother's pelvic bones and tissues. Forceps used with delivery can leave temporary marks or bruises on the baby's face and head. Babies delivered by vacuum extraction may have some scalp bruising or a scalp laceration (cut).

· Subconjunctival Hemorrhage:
Subconjunctival hemorrhage is the breakage of small blood vessels in the eyes of a baby. One or both of the eyes may have a bright red band around the iris. This is very common and does not cause damage to the eyes. The redness is usually absorbed in a week to ten days.

· Facial Paralysis:
During labor or birth, pressure on a baby's face may cause the facial nerve to be injured. This may also occur with the use of forceps for delivery. The injury is often seen when the baby cries. There is no movement on the side of the face with the injury and the eye cannot be closed. If the nerve was only bruised, the paralysis usually improves in a few weeks. If the nerve was torn, surgery may be needed.

· Brachial Palsy:
Brachial palsy occurs when the brachial plexus (the group of nerves that supplies the arms and hands) is injured. It is most common when there is difficulty delivering the baby's shoulder, called shoulder dystocia. The baby loses the ability to flex and rotate the arm. Many cases of brachial palsy resolve spontaneously in 24 hours or less and splints or therapy are not necessary in these cases. If the injury caused bruising and swelling around the nerves, movement should return within a few months. Tearing of the nerve may result in permanent nerve damage.

· Fractures:
Fracture of the clavicle or collarbone is the most common fracture during labor and delivery. The clavicle may break when there is difficulty delivering the baby's shoulder or during a breech delivery. The baby with a fractured clavicle rarely moves the arm on the side of the break. However, healing occurs quickly. As new bone forms, a firm lump on the clavicle often develops in the first 10 days. If the fracture is painful, limiting movement of the arm and shoulder with a soft bandage or splint may be helpful.

The personal injury law firm of Lebowitz and Mzhen represents clients in the Maryland and Washington D.C. areas that have lost a loved one due to the negligent conduct or behavior of another person and wish to file a wrongful death suit. The firm also has a successful record of handling birth injury cases that arise as a result of an obstetrician’s improper delivery of a newborn. Contact Lebowitz and Mzhen for more information.

Baby Caleb's Wrongful Death Suit Leads To Jury, Wmdt.com, October 26, 2006

Wrongful Death Lawsuit Continues For Second Day, Wmdt.com, October 24, 2006

Wrongful Death Caps, Hurt911.0rg

Birth Injury, Lucy Packard Children's Hospital


Related Web Resource:

Statistics About Birth Injury, Wrongdiagnosis.com