About
Dear Colleague:
Many newborns continue to be admitted to neonatal intensive care units throughout the United States. Some of them are diagnosed with perinatal asphyxia and other complications that eventually lead to permanent brain damage and other lifetime injuries. Often, the parents of these children will seek out lawyers to help them determine if these injuries could have been prevented.
The analysis of these potential claims will focus on whether the clinicians who participated in the care complied with applicable standards of practice and properly and timely diagnosed material, placental and fetal conditions that are capable of interfering with normal oxygenation of the fetus.
No obstetric health professional or institution providing obstetric care can afford less than an up-to-the-minute understanding of these medical and legal issues. The costs are simply too high.
This timely and important American Conference Institute publication was developed to provide both
legal and medical professionals with an intensive and broad review of the issues facing all clinicians providing care to pregnant women and their infants. This publication brought together an expert faculty of leading
obstetric health care providers and highly experienced litigators - representing both plaintiffs and defendants - to provide their information on:
- ACOG's report on neonatal encephalopathy and cerebral palsy
- The latest medical tools in fetal health surveillance
- A medico-legal guide to asphyxia
- Potential causes of brain damage: infection, metabolic and blood disorders and genetic defects
- The latest developments in determining the etiology and timing of the events leading to irreversible brain damage
- Recent medical and legal developments in prenatal diagnosis
- New issues in vacuum extraction, forceps and cesarean deliveries
- And much, much more!
Contents & Contributors
ANTEPARTUM AND INTRAPARTUM SURVEILLANCE DURING PREGNANCY
Carol Nelson Shepherd, Feldman, Shepherd, Wohlgelernter, Tanner
UNDERSTANDING FETAL HEART RATE PATTERNS
Dr. Barry S. Schifrin, Obstetrician and Gynecologist
Stephen A. Myers, DO
FETAL ASPHYXIA AND BRAIN DAMAGE
Dr. James A. Low, Queen's University
EFM IS A USEFUL SCREENING TEST FOR INTRAPARTUM FETAL ASPHYXIA
Dr. James A. Low, Queen's University
FETAL ASPHYXIA – A DEFENSE PERSPECTIVE
Luke M. Pittoni, Heidell, Pittoni, Murphy & Bach, L.L.P.
NEONATAL ENCEPHALOPATHY
Dr. David Clark, Albany Medical College
INFECTION AS A CAUSE OF BRAIN DAMAGE
Dr. Richard L. Sweet, Women's Health Center, University of California, Davis
NON-HYPOXIC CAUSES OF NEONATAL BRAIN DAMAGE OR DEATH
David R. Lucchese, Galloway, Lucchese & Everson
RECENT MEDICAL AND LEGAL DEVELOPMENTS IN PRENATAL
DIAGNOSIS AND SCREENING FOR FETAL ANOMALIES AND
GENETIC DISORDERS
Robert P. Schuster, P.C., Attorney at Law
Stephen P. Wainer, Attorney at Law
VACUUM EXTRACTION, FORCEPS AND CESAREAN DELIVERIES:
NEW ISSUES AND RISKS IN OPERATIVE VAGINAL DELIVERY METHODS
Nancy Hersh, Hersh & Hersh
SHOULDER DYSTOCIA AND INSTRUMENTAL TRAUMA
Dr. Barry Schifrin, Obstetrician and Gynecologist
ERB'S PALSY CASES: A PLAINTIFF'S PERSPECTIVE
Stephen H. Mackauf, Gair, Gair, Conason, Steigman & Mackauf
VAGINAL BIRTH AFTER CESAREAN SECTION
Bruce G. Fagel, M.D., Bruce Fagel & Associates
VAGINAL BIRTH AFTER CESAREAN SECTION
Nancy S. Roberts, M.D., Lankenau Hospital
BEHIND EVERY HEALTHY BABY IS A HEALTHY PLACENTA
Harvey J. Kliman, M.D., Ph.D., Yale University School of Medicine
LEGAL AND MEDICAL IMPLICATIONS OF PRETERM LABOR AND DELIVERY
Steven J. Weinberg, Law Office of Steven J. Weinberg
Chris Gorrell, Law Office of Steven J. Weinberg