About obstetric malpractice claims
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Care that falls below the accepted standard can constitute obstetrical malpractice if it injures a mother or baby. That includes care during pregnancy, delivery or the early postpartum period. A difficult birth doesn't, on its own, prove malpractice. A lawyer in your state or province can review an error you suspect was preventable. To assess whether you may have a claim, they'll look at what happened.
You may notice some injuries immediately. Other injuries may only become apparent later, DeFrancisco & Falgiatano explains on its OB-GYN malpractice page. You don't have to decide that the doctor was negligent before asking someone to review the care.
1.Something went wrong
Write down dates and names while they're fresh.
2.Get your records
Ask for your full chart and test results.
3.Free case review
A lawyer looks at what happened, free.
4.Medical opinion
A doctor checks whether the care fell short.
5.Start the claim in time
Your lawyer starts the claim before the deadline.
6.Settlement or trial
Many claims settle. Some go to a judge or jury.
What obstetrical malpractice covers
Pregnancy and childbirth fall within obstetrical care, as do the early days after delivery. Care can go wrong at a prenatal appointment. Errors can happen in the delivery room as well. An untreated infection in the mother may also reflect a care error.
Injuries aren't limited to the baby. Berkowitz Hanna's obstetric negligence page describes mothers suffering internal injuries or worsening infections. Loss of fertility is another harm it identifies. If an error injures both mother and child, each may have a claim. A local lawyer needs to assess each person's circumstances separately.
The care needs review, beyond the diagnosis itself. Negligence isn't proved simply because a pregnancy complication occurred. Whether the team recognized it needs review. Beyond that question, the review looks at the team's response: did it meet the accepted standard?
Where care can go wrong
During prenatal care
DeFrancisco & Falgiatano's examples of possible OB-GYN mistakes include misinterpreting an ultrasound. The firm also describes errors in managing gestational diabetes. The page also lists failure to administer genetic tests when they're appropriate. Prenatal testing done improperly appears in Berkowitz Hanna's discussion, as does failure to diagnose prenatal conditions.
A reviewer may begin by looking at a missed test. A missed test isn't proof. Whether that test was appropriate needs review. Once that's established, the review must determine whether the injury resulted from the missed test. Explaining how the missed test caused injury may require an expert witness.
During labor and delivery
Delaying a necessary C-section can be an error. An unnecessary C-section can also be an error. Signs that a baby may be in trouble are called fetal distress. Delays in treating it also appear on DeFrancisco & Falgiatano's page. Obstetricians receive training to recognize fetal distress and respond quickly and appropriately, the firm's page says.
Assisted delivery may need review, too. Mistakes during vacuum-assisted vaginal delivery appear on Berkowitz Hanna's page as examples of potentially negligent care. Improper labor induction appears on the page, too. DeFrancisco & Falgiatano describes another error: pulling too hard during vaginal delivery, which can result in Erb's palsy.
Timing matters here. A delayed C-section review has two questions to answer: when did the need become apparent, and did waiting cause injury? Neither question can be answered just because the family expected an earlier C-section.
After delivery
Care is still needed after the birth. Berkowitz Hanna describes harm to women during pregnancy and delivery, and after the birth. Berkowitz Hanna's page also identifies a possible form of obstetric negligence involving infection: failing to prevent or treat it.
Reviewing a postpartum concern begins with what the team knew about the mother's condition, before looking at the treatment. Then the review turns to treatment. For a medical expert witness's review, a lawyer can submit the team's response. The review asks whether the response met the accepted standard and whether different care could have prevented harm.
Warning signs that deserve a closer look
Seeking a legal review doesn't mean you've made a medical diagnosis. An ultrasound interpretation could later draw questions from another clinician. Delayed treatment for fetal distress is another concern you could take to a lawyer for review. An infection treated inappropriately is another reason you might seek review. Medical context matters for each.
DeFrancisco & Falgiatano explains that responding inappropriately to fetal distress can cause developmental delays or cerebral palsy. Berkowitz Hanna's discussion of infant injuries describes skull fractures and shoulder dystocia injuries as possible results of negligent care during delivery. Those conditions don't, by themselves, prove that the care was negligent.
What makes an error malpractice?
An injury can devastate a family even when the care wasn't negligent. DeFrancisco & Falgiatano says an OB-GYN error must fall below the accepted standard of care to qualify as malpractice. Injury must result from that departure. A claim rests on that distinction.
- Standard of care: The question is what the provider should have done in those circumstances. An expert witness assesses that question. Care must be judged in its circumstances. An error isn't proved simply because the delivery was difficult.
- Causation: The injury must have resulted from care that fell below the accepted standard. An injury can occur alongside an error in care. That doesn't show the error caused the injury.
- Harm: The review looks at the injury that resulted and the losses it caused. The review may cover the baby's condition along with injuries to the mother. The harm may differ for each.
Most cases need a board-certified obstetrician or gynecologist to assess whether a claim has a reasonable basis, DeFrancisco & Falgiatano says. That physician may also need to testify about how the care caused the injury. Where you bring the case determines which requirements apply.
A potential claim may extend beyond the physician. Hospitals and obstetrical clinics may face claims, too, as Berkowitz Hanna explains on its page. Other medical team members may face claims, too, if their actions contributed to the injury. Before naming anyone in a complaint, a lawyer should examine that person's or entity's role.
Identify the care in question
Your concerns about pregnancy or delivery are where the conversation starts. Stick to what happened. What you were told comes first. Next, describe what happened, including any injury that was identified later.
Review the healthcare records
Healthcare records matter. Berkowitz Hanna explains that establishing negligence includes obtaining the healthcare records. The lawyer can tell you which records to obtain for the mother's care and, where relevant, the child's.
Obtain a medical assessment
Whether the care fell below the accepted standard needs review. After examining that question, an expert witness considers whether the departure from accepted care caused harm. A disappointing outcome doesn't, by itself, answer either question.
Discuss whether a claim can proceed
Ask what evidence your claim needs. Have the lawyer explain the filing deadline that applies to you. Ask what's still uncertain before you decide whether to pursue a complaint.
Injuries, losses and compensation
Substantial costs may fall on a family after an obstetrical injury. DeFrancisco & Falgiatano says a successful birth injury claim may cover medical bills and therapy costs among the potentially recoverable losses. For a mother's own injuries, the page also lists potential losses involving lost wages and pain and suffering.
Some losses aren't financial. The same firm discusses loss of enjoyment and parents' emotional distress (in some circumstances). The firm describes these losses for its New York practice. You can't assume every state or province allows recovery for each of those categories.
- Birth injury result advertised on DeFrancisco & Falgiatano's OB-GYN malpractice page
- $4.1 million
- Source
You can't use that advertised result to put a value on another case. The firm's page calls it a birth injury result, without explaining the underlying facts there. When past results come up, have the lawyer explain how those cases compare with yours. Which differences matter needs explaining.
Filing deadlines differ by state and province
No single statute of limitations covers obstetrical malpractice throughout the US and Canada. Each state or province has its own deadlines. A lawyer where the care occurred can answer your deadline questions. The mother's claim and any claim involving the child may raise different rules, which the lawyer can explain.
Our state pages or Canada pages let you look for information by location. The filing rules for a parent's claim may differ from those for a child's. Ask the lawyer which deadline applies to your claim. Don't rely on a general deadline you've found online.
What to do next
Begin by describing your concern. A delayed response to fetal distress may concern you. Or you may want to know why an infection worsened. You can describe it in your own words. You don't need a legal theory.
A lawyer who handles medical malpractice can explain what you'll need to have the care reviewed. Discuss the healthcare records, along with any injuries that have already been identified. If both mother and child were harmed by the care, bring that up in the first conversation.
“Lawyer here, not yours. You should have a consult or two with med mal lawyers if this is something you want to investigate pursuing.”
The person who posted that Reddit comment identifies themselves as a lawyer. That suggestion isn't an assessment of your case. Ask at the consultation whether the lawyer handles obstetrical claims. Have them explain how they arrange medical review. Tell the lawyer what you know. Tell them what you still don't understand.
Common questions
What is obstetrical malpractice?
What are examples of obstetrical negligence?
Does a birth injury always mean malpractice occurred?
Can a mother bring a claim for her own obstetrical injuries?
What compensation may be available after obstetrical malpractice?
How long do I have to file an obstetrical malpractice claim?
Sources
- OB-GYN Malpractice, DeFrancisco & Falgiatano
- Connecticut Obstetric Negligence Lawyer, Berkowitz Hanna
- Malpractice question, Reddit, r/IVF











