Malpractice claims for injuries to a baby or mother during pregnancy, labor or delivery, with special rules in some states and for federally funded clinics.
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A birth injury claim is a medical malpractice claim: it must show that an obstetrician, midwife, nurse or hospital fell below the accepted standard of care, and that the shortfall caused the injury. Common allegations involve failure to respond to signs of fetal distress, delay in performing a cesarean delivery, mismanagement of shoulder dystocia that causes a brachial plexus (Erb's palsy) injury, and oxygen deprivation that causes hypoxic-ischemic encephalopathy or cerebral palsy. Not every poor outcome is malpractice, and causation is usually contested through medical experts and the fetal monitoring records.
Several rules differ from an ordinary malpractice case. A hospital with an emergency department that participates in Medicare must screen and stabilize a woman in active labor and may not transfer her before delivery except under the statute's conditions (42 U.S.C. § 1395dd). Virginia and Florida have created no-fault compensation programs for certain severe birth-related neurological injuries, and where a claim qualifies, the program can be the exclusive remedy in place of a lawsuit (Va. Code § 38.2-5000 et seq.; Fla. Stat. § 766.301 et seq.). If the care was given at a federally funded community health center, its clinicians can be treated as federal employees, so the claim falls under the Federal Tort Claims Act and must first be presented to the agency in writing before any suit (42 U.S.C. § 233(g); 28 U.S.C. § 2675(a)).
Many states also require an expert affidavit or certificate of merit when the suit is filed, and some cap non-economic damages in malpractice cases. Limitation periods for injuries to children differ from adult claims and from state to state, and some malpractice statutes limit the usual tolling for minors.
Request the complete records for both mother and baby, including the fetal heart monitoring strips, and keep every record of the child's later diagnoses and therapy. Speak to a malpractice lawyer early: experts need time to review the records, the deadlines and pre-suit requirements vary by state, and whether a state program or the Federal Tort Claims Act applies has to be settled before anything is filed.
Worried about the cost? A lawyer can be hired for one part of a case only (limited-scope representation), may be paid from what a claim recovers (contingency fee), or may be free through a pro bono program or legal aid; a court can also waive its own filing fees.
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