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A MARYLAND PERSONAL INJURY LAW FIRM

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KEITH BLAIR BARTNIK, P.A.

 

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Offices Located Through Out Maryland

Anne Arundel County: 7310 Ritchie Highway, Ste 910 Glen Burnie, Maryland 21061 (410) 760-7339

Baltimore City Office Meeting Location: 111 South Calvert Street, Ste 2700, Baltimore, Maryland 21202 (410) 685-7339

Baltimore County: 10451 Mill Run Circle, Ste 400, Owings Mills, Maryland 21136 (410) 363-7339

Howard County 5044Dorsey Hall Ste 205, Ellicott City, Maryland 21042 (410) 740-7339

Prince George County: 6301 Ivy Lane Suite 700, Greenbelt, Maryland 20770 (301) 474-7339

Montgomery County: 6701 Democracy Blvd. Suite 300 Bethesda, Maryland 20817

 

 

 

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Shoulder Dystocia
 

This is an injury that can be caused at birth and often times is the result of medical negligence. There are specific protocols doctors and mid wives are trained to follow when they encounter a birth emergency such as the baby becoming stuck due to the shoulders not passing through the birth canal. The various protocols include:

  • McRoberts Maneuver: Where the mother is repositioned and flexing knees to abdomen
  • Surapubic Pressure: Where push pressure is asserted over the mother's abdomen.
  • Wood's or Cork Screw Maneuver: Rotating the child's upper shoulder downward and the downward shoulder up ward.
  • C- Section: Which is extracting the baby through surgery.
There are four major types of injuries which occur to the nerves in the brachial plexus network which can result in some form of palsy:

1. an avulsion meaning the nerve is torn from the spine.

2. a rupture meaning the nerve is torn but not where it attaches to the spine.

3. a neuroma meaning the nerve has tried to heal but scar tissue has grown around the injury placing pressure on the injured nerve praxis. While the nerve has been damaged, it has not been torn and improvement should be seen within 3 months.

4. Neuropraxia is the mildest form of nerve injury. Neuropraxia, the most common form of Erb's Palsy is localized to the specific place where the injury occurs. It is a physiologic block of nerve conduction within an axon without any anatomical interruption. Many infants born with brachial plexus palsy have neuropraxia and sometimes recover within 4-6 weeks.

If you, your family or friends have encountered this type injury you know the problems it creates for the baby. The arm is in many extreme cases paralyzed. My office can help. You will find that a careful review of the medical records may reveal the breach from the standard of care. The records are all available. You need the prenatal records, the fetal monitor strip, the birth records and post birth records. When you retain my office we gather these records for you at no cost. We can have the records reviewed for you by an expert and determine for you whether there has or has not been a breach of the standard of care by your doctor. Sometimes knowing is important. In fact I say knowing is essential. If the injury could have been prevented by careful medical attention, you deserve to know for your sake and the sake of your baby. I want to know.

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DISLAIMER: Keith Blair Bartnik, P.A.. has created this website to be informative, but you should remember the contents are general in nature and not meant to substitute the specific legal advice given by an attorney based on your individual questions and needs. We have made every effort to provide up to date information and links, however we make no guarantees. Viewing this website and communicating with us by electronic mail or making a general inquiry does not create an attorney client relationship. You should be aware that contacting our law firm through the internet is not considered secure and therefore you should not send confidential or sensitive information that may be illegally intercepted by others.

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This site was last updated 02/23/09