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Maryland Birth Injury Attorney

Shoulder Dystocia and Erb's Palsy

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

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This site was last updated 01/15/08