Macrosomia and HIE in the News A child now has hypoxic ischemic encephalopathy (HIE), intellectual (cognitive) disabilities, learning disabilities, developmental delays and Erb’s palsy because the obstetrician failed to perform an emergency C-section when the baby was experiencing birth asphyxia and shoulder dystocia. A new mother who had diabetes and pregnancy-induced hypertension was admitted to the…
A physician fails to properly assess a mother’s fetus prior to labor and is unprepared when the very large baby (macrosomic baby) cannot pass through the birth canal. Dangerous attempts as vaginal delivery leave the baby’s arm nerves torn and baby is later diagnosed with Erb’s palsy.
A baby’s shoulder was stuck on the mother’s pelvic bone during delivery. The physician tried many things to deliver the baby, including use of vacuum extractors. Finally, the physician pulled the baby out by her arm, causing the nerves in the neck and shoulder to tear, resulting in the baby’s arm being paralyzed, a condition called Erb’s palsy.
Pediatrics just published a study that points to events that occur during delivery as being necessary to the development of hypoxic ischemic encephalopathy (HIE), rather than events that occur before labor.
A Massachusetts attorney sues the American Journal of Obstetrics and Gynecology (AJOG) after he discovers that the article is based on events that never occurred.
When a doctor fails to inform a patient that she has risk factors for a birth injury such as Erb’s palsy, it is a violation of the standard of care. Further, the baby may suffer permanent and serious disabilities.
Plea for immediate surgery on a girl with Erb’s palsy emphasizes the importance of early recognition and treatment of severe Erb’s palsy: if surgery doesn’t occur by 9 months, the arm will likely be paralyzed.