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Birth Injury Case Evaluation Children suffering from preventable birth injuries are confronted with staggering medical costs, difficult treatments and permanent disabilities. Making medical providers accountable through medical malpractice claims may aid in easing the financial burden and bring justice. In order to win a case, attorneys must prove that the doctors or hospitals did not follow accepted standards of care during labor and birth. This is often accomplished by thorough examination of medical records and expert witness testimony. Cerebral Palsy Cerebral Palsy is also known as cerebral palsy, is a permanent impairment caused by an injury to the central nervous system. This can occur during pregnancy (perinatal) or in early childhood. It affects a broad range of body movements. It can be mild, moderate or severe in intensity. The symptoms of the condition change with age, but it's not progressive. In contrast to other conditions, it isn't a condition that can be tested. Nevertheless, a thorough and comprehensive assessment can help medical professionals determine whether or the child's condition is caused by cerebral palsy. This includes a complete assessment of mobility and neurological issues. The examinations will focus on the child's balance and muscle tone, and also their abilities to move and their reflexes. A musculoskeletal examination can identify hip dislocations, scoliosis and contractures. A speech and language assessment will also reveal the child's intellectual development as well as their ability to create speech sounds. Neuroimaging, a type of imaging that allows doctors to view the brain in greater detail is frequently used in diagnosing Cerebral Palsy. It is a noninvasive method to determine the severity of brain injury. It doesn't allow doctors to predict the effects of the injury on a child's symptoms. Some children may not be diagnosed with cerebral palsy until several years old because symptoms can vary. The classification of a disorder by severity, topographic location, and muscle tone could be useful in determining the degree of impairment and impacting treatment. Physical and occupational therapy are among the most effective treatments for Cerebral Palsy. These therapies can improve the mobility of a child and reduce their chance of developing joint deformities, such as scoliosis. In addition, speech therapy and the use of adaptive equipment can aid with daily activities and enable them to interact more fully with family members and other. There are many options for financial aid available based on the specific circumstances that lead to the child's health. This includes charities and foundations that help ease the burden of the cost of a child's treatment and care. Brachial Plexus Injury A brachial-plexus injury happens when the five nerves which connect to the neck spine to the spine are injured. These nerves transmit signals from the spine to the shoulder, hand and arm. There is a brachial plexus on each side of the body. Some infants with brachial plexus injuries recover without treatment, but most will benefit from occupational and physical therapy. A smaller proportion of infants might require surgery to achieve satisfactory results. A doctor is able to diagnose a baby's brachial plexus injuries on the basis of the medical history and physical examination. A doctor may also order special imaging tests, like an MRI or CT scan or nerve conduction studies, although these tests are not as reliable for babies. Doctors can also assess the strength and flexibility of the child's muscles in their arms by doing mild range of motion exercises which aids in tracking the progress of recovery over time. The signs and symptoms of brachial plexus injuries differ based on the severity of the injury and the nerves that have been affected. The signs can include weakness of the arm, muscle movement, and diminished sensation (feeling) in the hand. The symptoms typically affect only one side of the body. However, occasionally both sides may be affected. The most common cause is Neonatal Brachial Plexus Palsy (NBPP) however, it can be caused by other causes. Babies who are overweight or have a breech position or who are pulled forcibly during birth could be more at risk of suffering from a brachial injury. This type of injury is also prevalent in athletes who play contact sports, such as football, and from blunt trauma. NBPP is a condition that can be diagnosed early, usually within six weeks after birth. Most children will recover without intervention, however those that do not improve within a month have to be assessed by a specialized team. These teams are usually made by a pediatric orthopedist along with a physiatrist and physical therapist. Erb's Palsy The brachial (brake-ee-al) the plexus is a group of nerves that runs from the spinal cord to the shoulder and then down the arm and into the hand. This group of nerves can be damaged during delivery and cause weakness or paralysis of the affected arm. The most commonly reported form of this condition is Erb's palsy. It is caused by significant stretching or tearing of the upper brachial plexus nerves during labor and delivery. A doctor can diagnose Erb's Palsy by performing an examination of the infant's arm. The doctor will look for a lack of movement in the affected arm, a sluggish wrist and lack of Moro reflex (the baby's involuntary response to the loss of head support). The health professional might also order an imaging test, like an X-ray or ultrasound or a nerve test such as an electromyogram or a nerve conduction test. In many cases, Erb's palsy is caused by an unexperienced doctor applying too much lateral traction the infant during a forceps delivery. This type of traction can be minimized by having the shorter second stage of labor, or by placing the mother on her back during a portion of the delivery. A doctor can also reduce the risk of injury by having the baby delivered via C-section. Many other types of injuries to the brachial system can occur in addition to Erb's palsy. Klumpke palsy is a more serious type of this condition that causes injuries to the nerves of the lower brachial plexus. filing a birth injury claim of injury could be referred to as “waiter's tips” because the limb is suspended by the side, rotated to the medially and pronated. It also is flexed, extended and bent at the wrist. It is crucial to seek out a medical malpractice lawyer as soon as possible in the event that your child is diagnosed with any of these issues. Beth has more than 18 years of specialized expertise in labor and birth, and can help determine whether your child's medical provider committed acts of negligence that could have resulted in these preventable injuries. Hypoxic Ischemic Encephalopathy Hypoxic ischemic encephalopathy (HIE) is a condition that occurs when a birth issue reduces blood flow and oxygen to the infant. HIE is a serious brain condition that can lead to permanent brain damage. The effects of HIE can vary from mild to extreme, and they usually begin within a few weeks after birth. HIE is an illness that is part of a larger group of birth-related injuries known as neonatal Encephalopathy. An infant may develop HIE due to complications during labor and delivery, including excessive bleeding in the mother's blood vessels or a breech birth an extended labor and delivery or forceps delivery. It is possible that a baby may have an underlying issue such as a low birth weight, which could result in HIE. To identify HIE in infants, doctors take a look at the infant's APGAR scores and any signs of neurological impairment. A low APGAR score can signal the need for immediate medical intervention. Doctors can use blood tests to assess the acid buildup in the umbilical chord, which is an indication that a baby might have been suffering from an oxygen deficiency or a decreased flow of blood. If a doctor suspects that the child is suffering from HIE and suspects that they have it, they usually use a treatment called therapeutic hypothermia to treat the condition. During this treatment, the infant is swaddled in a cooling blanket and given medicine to aid in sleep. During the cooling process, doctors will continuously keep track of the heart rate, breathing state and body temperature, as well as brain activity. Once a baby has been fully warmed up and re-warmed, an electromagnetic resonance imaging (MRI) scan is performed. MRIs are the best way to identify HIE and its injury pattern. An MRI may show an approximate timeframe for the injury, which is helpful in determining if a child's symptoms are due to HIE. If you are diagnosed with HIE infants should be monitored closely for the rest of their lives. They'll see a pediatrician and neurologist, and may receive physical, speech and occupational therapy to help them cope with their symptoms. The aim is to make the children as healthy as possible and to help them reach their full potential.