Category: Birth Injuries

Clinical Practice Guidelines as Standard of Care in Birth Injury Claims

by John McKiggan

Wikipedia defines a Clinical Practice Guideline as:
“… a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.”
Clinical Practice Guidelines (CPG’s) are frequently referenced in medical malpractice claims and frequently there is a debate as to whether CPG’s establish the standard of care a prudent physician is required to meet in a particular circumstance.

Birth Injury Claims

Anyone who practices obstetric malpractice will be familiar with the Society of Obstetricians and Gynecologists of Canada (SOGC) policy statement on Attendance at Labour and Delivery and their various guidelines for obstetrical care and the American College of Obstetricians and Gynecologists (ACOG) guidelines for perinatal care.

Standard of Care in Obstetric Malpractice Cases: Birth Injury Claims in Canada

by John McKiggan

Birth Trauma Claims

I had the pleasure of being invited to speak at the Birth Trauma litigation conference in Toronto this year. The conference was fascinating and I learned a lot from the other lawyers, physicians and nurses who presented at the conference.

I was asked to speak on the topic of Standard of Care in Obstetric Malpractice Cases.

Supreme Court of Canada Upholds Judge’s “Copycat” Decision (In Part): Cojocaru v. British Columbia Women’s Hospital and Health Centre

by John McKiggan

Last week, the Supreme Court of Canada (SCC) issued a decision in a complicated medical malpractice case that raised the issue of when it is appropriate for judges to incorporate reasons taken from the briefs of one of the parties.

Background

In Cojocaru v. British Columbia Women’s Hospital and Health Centre the mother, Monica Cojocaru had previously given birth by C-section. On the recommendation of her obstetrician, Dr. Yue, Ms. Cojocaru agreed to delivery of her baby, Eric Cojocaru, by “vaginal birth after Cesarean section”, otherwise known as VBAC.

Appeal Court Upholds Jury Decision in Med Mal Trial: Goodwin v Olupona

by John McKiggan

Judge or Jury?

In most provinces in Canada, it is possible to have a civil case tried by judge alone or by judge and jury. I discussed this recently in an article on my Halifax Personal Injury Lawyer Blog, Do I have a right to a jury trial in personal injury claims?

The Nova Scotia Supreme Court recently stated in Anderson v. Cyr, a claim arising out of a motor vehicle accident:

Multi-million dollar award to child who suffered birth injury: Court examines compensation for “pain and suffering”

by John McKiggan

Child Claims Millions Due to Birth Injury

An Alberta court recently decided a case involving a child who was permanently injured during her birth. The case A.T.-B. v. Mah contained an interesting analysis of a variety of legal issues that typically arise in medical malpractice claims.

I thought the case was worth writing about because of the judge’s views regarding the plaintiff’s claim for compensation for “pain and suffering.”

Supreme Court of Canada clarifies law for malpractice victims: Ediger v Johnston

by John McKiggan

The Supreme Court of Canada released an important decision for medical malpractice plaintiffs today.

Summary

In Ediger v. Johnston, the plaintiff “C” suffered from brain damage caused during her birth. C now lives with spastic quadriplegia and cerebral palsy. She is tube-fed, confined to a wheel chair and is completely dependent on others for all of her daily needs. She has a significantly reduced life expectancy of 38 years.

“My doctor says my baby has Erb’s Palsy. What does that mean?”

by John McKiggan

I was asked this question the other day by a new mom. As a medical malpractice lawyer in Halifax, I frequently get calls from parents throughout Atlantic Canada whose babies have suffered a birth injury.

Usually they want to know how the injury happened or if the injury was caused by anything the doctors or nurses did during the mom’s labour and delivery. Sometimes they just want someone to explain the medical terms the doctors have used.

Erb’s palsy and Brachial plexus injuries

Court of Appeal Overturns Award to Brain Injured Baby – Ediger v. Johnston

by John McKiggan

The British Columbia Court of Appeal released its reasons last week in the case of Ediger v. Johnston.

The Facts

Cassidy Ediger suffered an acute and severe hypoxia-ischemic encephalopathy (HIE) about 20 minutes before her birth. Her injury was caused by a compression of her umbilical cord which cut off oxygen from the placenta to her brain. The asphyxia caused a deceleration in her fetal heart rate which lasted until Cassidy was delivered by emergency caesarean section.

Birth Injuries More Common During Night Shift

by John McKiggan

My colleague, Ches Crosbie recently posted about an American Journal of Obstetrics and Gynecology report that studied medical charts for more than two millions births in California over a 14 year period. According to the study children born between the hours of 10 PM and 4 AM were 22% more likely to develop cerebral palsy.

Ches suggested:

Hospitals already have issues with staff shortages and fatigued workers, so it makes sense to me that these problems might be worse during the “graveyard shift”.

Doctors Closer to Detecting Pre-Eclampsia Earlier

by John McKiggan

I am currently investigating a medical malpractice claim where my client suffered catastrophic injuries after developing pre-eclampsia so this story caught my eye.

CTV News has reported that an international team of doctors claim to have discovered 14 telltale metabolites that appear in the blood in early pregnancy that signal an increased risk for pre-eclampsia.

The researchers hope the discovery could one day mean a simple, cheap blood test for the life-threatening condition.