An expectant mother, in full-term pregnancy, presented to her regular hospital after her water broke. Labor progressed without complications until the fetal heart monitor displayed a concerning sinusoidal rhythm—indicative of a category III heart tracing, which required immediate evaluation by an obstetrician. Rather than alerting the on-call doctor immediately, the nursing team attempted to reposition the patient. As the monitor readings became erratic, additional minutes were spent adjusting the machine and sensor placements. It took approximately 15 minutes before the on-call doctor, who was not on-site, was notified.
During this critical time, the hospital’s protocol to alert a neonatologist in anticipation of potential resuscitation at delivery was not followed. As a result, when the baby was born, she was not breathing and had only a faint pulse. The absence of a neonatologist meant that less qualified staff attempted, unsuccessfully, to resuscitate the baby.
Our investigation revealed several lapses in care, including delays in notifying the on-call physician and failures to adhere to hospital protocols for high-risk deliveries. These findings led the hospital to revise its policies, implementing automated alerts for neonatologist involvement in emergency C-sections. Our firm’s efforts resulted in a substantial settlement for the parents, acknowledging the failures in their care and supporting them in their recovery.
Type of Medical Malpractice: Obstetric and Nursing Negligence
Standard of Care Issues:
- Immediate response to concerning fetal heart monitor readings
- Timely decision-making and communication among healthcare professionals
- Adherence to hospital protocols for high-risk deliveries