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Doctor Sued For Malpractice For Failure to Monitor Fetal Vital Signs Properly

Doctor Sued For Malpractice For Failure to Monitor Fetal Vital Signs Properly


A monoamniotic-monochorionic twin pregnancy is a condition where twins are developing inside the same amniotic sac. This is an extraordinarily rare high risk pregnancy, which can cause the umbilical cords of the two babies to become intertwined. In case this happens both babies could die or the death of one twin could cause the other twin to endure a severe brain injury. In circumstances where umbilical cord occlusion happens, time is critical for the physician to identify the situation and perform an emergency C-section.

In a certain number of pregnancies involving twins a situation might happen in which the two twins grow within a single amniotic sac. This predicament is known as a monoamniotic-monochorionic pregnancy. There is the likelihood that the umbilical cords can become entangled placing at risk the health and even the live of the babies. In some cases in which there is umbilical cord occlusion both twins die. In different cases one twin lives but suffers severe brain damage. Doctors normally acknowledge that these pregnancies should be carefully monitored. That way in the event that an umbilical cord problem happens a timely emergency C-section can save the twins.

In the uncommon circumstance in which unborn twins share the same amniotic sac there is a significant possibility that their umbilical cords may become entangled. This cuts off the oxygen supply to the babies. Sometimes neither baby survives. In some other cases even though one baby lives that twin is left with a serious brain injury. An emergency C-section immediately after an umbilical cord occlusion takes place is the only way to keep both babies alive and without a brain injury. This demands diligent checking of the mother throughout the pregnancy for signs that the umbilical cords are knotted.


One kind of high risk pregnancy takes place if the mother is carrying twins in a single amniotic sac, a situation identified as monoamniotic-monochorionic twins. This form of pregnancy carries the known risk of umbilical cord entanglement. In cases where this takes place the oxygen supply to the babies can be cut off. Oxygen is necessary for the babies to be health. Being subjected to a prolonged period of oxygen insufficiency can result in brain damage or possibly the death of the twins. Seeing as this is known to happen in pregnancies involving monoamniotic-monochorionic twins the expectant mother's physician should thoroughly monitor the pregnancy for any indications of umbilical cord occlusion. Doctors generally recognize that to be able to protect the life and health of the babies the medically correct course of action is an emergency C-section immediately after clues of this complication show up.

In this article we examine a reported case in which the pregnant woman was diagnosed with this sort of pregnancy. Beginning in the twenty sixth week of pregnancy her doctor prescribed twice a week non-stress testing to keep tabs on vital signs of her twins. Although it was standard practice to hospitalize the woman and have the babies monitored daily, the physician did not do this and at some point between 2 tests, one twin died and the other twin sustained severe brain damage.

The parents filed a lawsuit claiming medical malpractice. Even though the parents had suffered a heartbreaking loss, the defense would not settle. The law firm that helped the family took the claim to trial. After the law firm overcame a number of procedural hurdles and an appeal by the defense, the Appeals Court upheld the jury award to the family in the amount of $3.0 Million. The Appeals Court even cited a number of studies and articles which described that to ensure the safety of both twins it is required to admit the pregnant woman around the twenty sixth week of her pregnancy and to do non-stress tests at a minimum frequency of once a day, if not 2 or 3 times daily, to check on the vital signs of the twins.
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Doctor Sued For Malpractice For Failure to Monitor Fetal Vital Signs Properly