Vacuum-Assisted Delivery And Birth Injury

Sometimes, during the labor and delivery process, the baby needs a little help getting through the birth canal. Approximately 1 out of 20 vaginal deliveries in the United States result in some form of assistance being required. Prolonged labor can be dangerous to the baby as well as extremely painful and exhausting to the mother. Two common forms of assisted delivery, used by medical providers to when labor is stalled, are vacuum extraction and forceps delivery.

Vacuum extraction involves placing a small round cup on the baby’s head, which attaches to a vacuum pump creating suction to help guide the baby out of the birth canal. If performed incorrectly, suction during vacuum extraction can cause permanent and even life-threatening injuries, including: massive bleeding (hemorrhage and hypovolemic shock) beneath the scalp or within the brain (intracranial hemorrhage and encephalopathy); brain damage; skull fracture; and, retinal hemorrhage. Forceps delivery (another assisted delivery method), can also cause skull fractures, skull bleeding, and bruising on the baby’s head and face. These injuries have been known to cause permanent brain damage, neurological injuries and more specifically, cerebral palsy (CP).

In the hands of an inexperienced or untrained physician, a vacuum-assisted or forceps-assisted delivery can cause you and your child serious and permanent injuries. The cost of care for a child with cerebral palsy, or any birth injury, is very high. If your child’s birth injury was caused by a complication during vacuum-assisted or forceps-assisted delivery, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

We handle all cases on a contingency fee basis. This means you will never pay an attorney’s fee up front, and you owe us nothing unless we win your case. The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. A The Yost Legal Group, there is no fee or expense unless you recover.

 

Paralysis Caused By Spinal Surgery

An ideal outcome in spinal surgery is dependent of the coordination of efforts by the surgeon, anesthesiologist, and neurophysiologist. Because patients are under general anesthesia during surgery, techniques for examining the nervous system for potential injuries can be somewhat limited. Intraoperative spinal cord monitoring (IOM) allows the surgeon to record the electrical signals transferred along the spinal cord and use this recording to prevent neural irritation or spinal cord injury during surgery.

Electrodes are placed on the patient’s body to monitor and record nerve signal responses throughout the spinal surgical procedure. The most common forms of spinal cord monitoring during surgery are EMG (electromyography), SEP (somatosensory evoked potentials) and MEP (motor evoked potentials). Ideally, this is done in an efficient manner without interrupting the flow of the operation and producing unnecessary interruptions.

The monitoring personnel must be able to detect and understand the source of any variables in spinal cord signals in order to deal with them appropriately. An intra-operative disruption or complete loss of spinal cord electrical signals in the appropriate monitoring channels (either SEP sensors, MEP sensors, or both) is clearly an indication of significant disturbance of spinal cord function. If this is not recognized and sensation is not restored during the spinal surgery, severe spinal cord and/or spinal nerve root injury, up to and including partial or total paralysis, may occur.

If you or a loved one has suffered permanent neurological injury and/or paralysis due to a complication during spinal surgery, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

 

Mismatched Blood Transfusion And Transfusion Reaction

A blood transfusion is a common medical procedure in which donated blood is provided to a patient through a narrow tube (IV catheter) placed within a vein in the arm. Blood transfusions become medically necessary for many reasons, including a need to replace blood in patients who suffer significant bleeding as the result of a major surgery or accidental injury. Blood transfusions are also needed by patients with blood disorders which interfere with their body’s ability to manufacture blood and/or blood components, such as blood platelets.

The four major blood groups (A, B, AB, and O) are determined by the presence or absence of specific antigens (on the surface of red blood cells) and specific antibodies (in the blood plasma). Every person has an ABO blood type, and is either blood type A, B, AB or O. In addition, all blood is designated by its Rh factor, depending on whether or not it contains another blood cell surface antigen, called the Rh factor. Blood is either Rh-positive (if the Rh factor antigen is part of the surface of its red blood cells) or Rh-negative (if its red blood cells do not include Rh factor antigens). There are very precise ways in which blood types must be matched for a safe transfusion. The blood donor and the recipient must have their blood types checked and cross-matched to ensure that the recipient’s immune system will not attack the donor blood.

If incompatible blood is given during a transfusion (donor and recipient blood types do not match), the donor cells are treated as if they were foreign invaders, and the patient’s immune system attacks them accordingly. This creates life threatening complications for the patient. If a transfusion reaction occurs, it renders the blood transfusion useless and can cause a potentially overwhelming activation of the transfused patient’s immune system and blood clotting system. This may result in the patient going into shock, kidney failure, circulatory collapse, and death.

The safe and effective administration of blood transfusion procedures involves the coordinated care of a variety of professional groups including nurses, doctors, laboratory scientists and blood banks. With that being said, there is absolutely no excuse for a patient receiving an incompatible blood transfusion. This preventable, careless medical mistake is often referred to as a “never event” – a patient treatment error that should under no circumstances occur.

If you or a loved one feel you are the victim of a medical mistake, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

Group B Strep Infection Causing Birth Injury

Group B streptococcus (GBS), is a bacterium that can cause serious infections in newborn babies. It is one of many types of streptococcal bacteria, commonly referred to as “strep.” Approximately one in three to four pregnant women in the US carries GBS. It is found in the lower part of the digestive system (colon) and/or in the vagina.

GBS is not harmful to healthy adults but is extremely dangerous for newborn infants when found in pregnant women. Signs and symptoms of neonatal GBS are often very difficult to detect. Newborns who are infected with GBS can develop pneumonia (lung infection), sepsis and septic shock (systemic infection, with or without organ failure), meningitis (infection of the lining of the brain and spinal cord), and septicemia (blood infection).

Complications associated with neonatal GBS can be prevented by giving an intravenous antibiotic during labor to any woman whose baby is at risk of GBS infection. These women can be identified by bacteriological screening, involving taking swabs from the vagina and rectum, or by risk-factor-based screening. All pregnant women should be screened for GBS.

Your newborn baby is at risk of GBS infection if, during your pregnancy:

  • You have a urine culture during your current pregnancy showing GBS
  • You have a vaginal and rectal swab culture during your current pregnancy showing GBS
  • You had a prior pregnancy during which you or your baby had GBS

Therefore, it is important that your medical provider tests for this type of infection to avoid an otherwise preventable birth injury. If GBS is diagnosed and not treated during pregnancy, it is medical negligence.

If you or a loved one feel you are the victim of a medical mistake contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

We handle all cases on a contingency fee basis. This means you will never pay an attorney’s fee up front, and you owe us nothing unless we win your case.

Kernicterus

Despite advances in neonatal care, preventable injuries to newborns are still prevalent in the United States. Jaundice, a common medical condition in infants, is characterized by yellow tinting of a newborn’s skin and the whites of the eyes (conjunctiva). This yellowing is a sign that there is too much bilirubin (a substance formed by the breakdown of red blood cells) in the baby’s blood. Although most jaundice resolves without causing any harm, it is important that bilirubin levels are carefully monitored in all babies with jaundice because bilirubin is a toxic substance that can rise to dangerous levels in infants.

If severe jaundice (hyperbilirubinemia) is not treated, it can lead to serious lifelong problems such as kernicterus. Kernicterus is a type of permanent brain damage that occurs in a newborn when bilirubin builds up to very high levels and spreads to the baby’s brain, where it infiltrates brain tissue and causes damaging swelling of the brain (encephalopathy). Kernicterus, also called acute bilirubin encephalopathy, causes permanent brain damage that could have otherwise been prevented.

Symptoms of kernicterus can include:

  • Extreme sleepiness and lethargy (the baby may have difficulty waking up or can’t be kept awake, does not respond to touching or does not startle from sudden movements).
  • A very abnormal, high-pitched cry.
  • Poor muscle tone – the baby may seem “floppy” and weak.
  • A fever that occurs along with any of these other symptoms.

Approximately 60% of term, and 80% of pre-term, babies develop jaundice in the first week of life and about 10% of breastfed babies are still jaundiced at 1 month of age. Therefore, it is imperative that jaundice is properly recognized, monitored (a simple blood test identifies the baby’s bilirubin level) and treated as soon as possible (typically with phototherapy and, if necessary, blood transfusions), before it develops into kernicterus. If the symptoms of hyperbilirubinemia or kernicterus are not recognized and treated by medical staff, it is medical negligence.

Our experienced attorneys fight for individuals who have been negatively impacted by the negligence of others.  If you would like to discuss your child’s potential claim arising from a brain injury, the attorneys at Yost Legal Group are experienced professionals ready to investigate your claim with compassion and determination.  For a free consultation, please call us at 1-800-YOSTLAW.

Injury During Cardiac Catheterization

Cardiovascular disease (CVD) is the number one cause of death globally. Because more people die annually from heart disease than from any other cause, it is important to take preventative measures to examine how well your heart is working. Diagnostic procedures and medical tests are commonly performed by medical professionals to monitor the heart and keep people from suffering fatal heart attacks.

Cardiac catheterization, a procedure used to diagnose and treat cardiovascular conditions, involves inserting a flexible wire into an artery or vein in your neck or groin, threading this wire through your blood vessels to your heart and, finally, guiding a long, thin tube, called a catheter, over the wire and into coronary arteries, veins or even a chamber of the heart.

Complications of this procedure can include:

  • Creation of a blood clot inside a blood vessel (thrombus), triggering a stroke, heart attack, or other serious problems.
  • Dislodgment of atherosclerotic plaque (plaque rupture) from the interior wall of a blood vessel, triggering a stroke, heart attack, or other serious problems in patients with atherosclerosis (a condition commonly known as “hardening of the arteries”)
  • Damage to blood vessels (the wire or catheter may cut, scrape or puncture a blood vessel as they are threaded to the heart), causing severe bleeding (hemorrhage or hematoma).
  • Accidental placement of the catheter into the wrong artery, vessel, heart chamber or, rarely, into a lobe of the lung.

The use of ultrasound imaging to guide catheter placement and the degree of technical experience greatly influence the incidence of vascular complications. If ultrasound imaging is not used to provide visual guidance during the procedure, or if the doctor performing the catheterization is careless or inexperienced, risks of complication skyrocket. These complications may all fall into the category of medical malpractice. An injury during cardiac catheterization can cause permanent damage or even result in death.

If you or a loved one feel you are the victim of a medical mistake contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

We handle all cases on a contingency fee basis. This means you will never pay an attorney’s fee up front, and you owe us nothing unless we win your case.

 

Ataxic Cerebral Palsy

Cerebral palsy (CP) occurs in nearly 1 in every 500 births, making it is the most prevalent cause of motor function impairment. A disorder of movement, muscle tone or posture, CP is a neurological condition caused by brain damage which is usually suffered before, during or soon after a baby is born. CP may also cause seizure disorder (epilepsy), swallowing, speech and eye movement problems, and can cause intellectual disabilities.  Premature birth significantly increases an infant’s risk of CP.  There are several different types of CP, with each type classified according to the type of body movement and posture problem present. Ataxic cerebral palsy is the rarest type of cerebral palsy and involves the entire body.

Ataxic CP causes problems with:

  • Balance
  • Precise Movements (may reach too far or too close to touch objects)
  • Coordination (may walk with feet unusually far apart)
  • Hand control (may have trouble buttoning clothing, writing or using scissors)

If there is birth trauma during labor and delivery, it is possible for the baby to suffer from a brain injury due to hypoxia, or lack of oxygen. Medical staff is expected to monitor the baby’s heart rate and the mother’s contraction rate to ensure the safety of the baby and avoid birth injury. Medical negligence in this area could be the reason why you child suffers from cerebral palsy.

Motor functioning impairment greatly affects quality of life. Additionally, the cost of care for a child with brain damage is high. If your child’s brain injury was caused by a medical mistake at birth, or caused by an extremely premature birth which healthcare providers negligently failed to prevent (such as a failure to diagnose and treat preeclampsia), the experienced Birth Injury lawyers at The Yost Legal Group are here to help.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation. When you call, you will speak with a Baltimore Birth Injury attorney with real experience absolutely free. At The Yost Legal Group, there is no fee or expense unless you recover.

 

Hypoxic Brain Injury- Intubation

Tracheal intubation (TI), usually simply referred to as intubation, is a procedure performed by medical professionals in the setting of respiratory failure and shock. This procedure involves inserting a flexible plastic tube into the patient’s trachea (windpipe) to maintain an open airway, assist with breathing and can also serve as a channel through which to administer certain drugs.

Although intubation is a life-saving intervention, life-threatening complications may arise if this complex procedure is not done correctly. Negligent placement of the endotracheal tube into the esophagus, instead of the trachea, is a major cause of cardiac arrest and brain damage associated with intubation.  If this mistake is not immediately recognized and the tubing withdrawn from the patient’s esophagus, the patient’s airway remains blocked and hypoxic brain injury or anoxic brain injury can result from the asphyxiation caused by negligent intubation.

Patients must have a continuous supply of oxygen to the brain in order to survive. If the oxygen supply is interrupted, even for a short amount of time, the functioning of the brain is disturbed immediately and irreversible damage can quickly follow. Despite intubation guidelines and years of training in airway management, medical mistakes continue to be made, causing catastrophic complications to arise.

If you or a loved one feel you are the victim of a medical mistake, contact The Yost Legal Group today at 1-800-YOST-LAW (800-403-7259). When you call, you will speak with an experienced Baltimore Medical Malpractice attorney absolutely FREE.

The attorneys at Yost Legal Group are experienced, caring professionals ready to investigate your claim with compassion and determination. Call us today to receive a free, confidential consultation about your possible case. At The Yost Legal Group, there is no fee or expense unless you recover.

 

Dyskinetic Cerebral Palsy

Cerebral palsy, or CP, is one of the most common birth injuries associated with medical negligence in the United States. This serious medical condition is the result of an injury to the baby’s brain, including brain damage caused by oxygen deprivation during labor and delivery. Cerebral palsy can be categorized into different forms, based on the degree of brain damage and the area/areas of the body affected.  Forms of cerebral palsy include dyskinetic CP, spastic CP, and ataxic CP.

Dyskinetic CP results from damage to the basal ganglia of the brain (responsible for regulating voluntary movement) and is associated with a number of symptoms that cause muscle tone to fluctuate between being loose and tight. The different forms of dyskinesia include, dystonia, athetosis, and chorea, and result from damage to slightly different structures within the basal ganglia.

Characteristics of dystonia include painful muscle contractions, causing slow twisting or repetitive movement, and a disabling, rigid posture. Athetosis is characterized by slow, continuous, involuntary, writhing movements that may cause those affected to appear restless. People with chorea experience brief, abrupt involuntary movements and may appear fidgety.

It is the medical staff’s responsibility to consistently monitor the baby’s heart rate and the mother’s contraction rate. When signs of fetal distress go unnoticed, the baby can suffer from oxygen deprivation during labor and delivery, which is an obstetrical emergency. Consequences of such negligence can result in permanent brain injury, such as dyskinetic CP, when the baby suffers brain damage from lack of oxygen (hypoxia or anoxia) during labor and delivery.

The cost of care for a child with brain damage, is very high. If your child’s brain injury was caused by a medical mistake at birth, the experienced Birth Injury lawyers at The Yost Legal Group are here to help.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation. When you call, you will speak with a Baltimore Birth Injury attorney with real experience absolutely free. At The Yost Legal Group, there is no fee or expense unless you recover.ysys

Fetal Acidosis

Before a baby is born, the fetus is completely dependent on the mother’s blood supply to receive oxygen and nutrients. These necessities are delivered from mother to child through the umbilical cord and placenta. If proper care is not taken by a medical professional during the labor and delivery process, the baby’s oxygen supply can become compromised. When a baby is suffering from oxygen deprivation, brain cells begin to die off and brain damage can be irreversible.

Fetal acidosis is a symptom of serious brain injuries caused by a severe lack of oxygen to a baby during labor and delivery (such as, Cerebral Palsy (CP), Hypoxic Ischemic Encephalopathy (HIE), and seizure disorders). Fetal acidosis is diagnosed by a lab test, (blood cord gas test) performed in the first few minutes of a newborn’s life, analyzing the pH level of the blood drawn from the umbilical cord artery and veins.  If the pH level of the cord blood sample is 7.0 or less, the baby has a low (acidic) cord pH and is diagnosed with fetal acidosis.  A low cord pH at birth is one of the most common indicators of a baby’s lack of oxygen during labor and delivery.

Birth injuries due to low oxygen supply (hypoxia) or no oxygen supply (anoxia, or asphyxiation) can be avoided by good medical care during labor and delivery, including routine monitoring of the baby (fetal movement and heart rate), the mother’s vital signs (maternal heart rate and maternal blood pressure), and uterine contractions during labor (how long the contractions last, how strong the contractions are and how close together the contractions occur).

If your child’s brain injury was caused by a medical mistake, the experienced Birth Injury lawyers at The Yost Legal Group are here to help.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation. When you call, you will speak with a Baltimore Birth Injury attorney with real experience absolutely free. At The Yost Legal Group, there is no fee or expense unless you recover.