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Birth Injury Case Evaluation Children with preventable birth injuries face astronomical medical bills, difficult therapies and permanent disability. The process of holding medical professionals accountable through medical malpractice lawsuits could help ease the financial burden and bring justice. To be successful in a claim lawyers must prove that the doctors or hospitals violated accepted standards of care during labor and delivery. This is usually accomplished through extensive review of medical documents and expert witness testimony. Cerebral palsy Cerebral Palsy is also known as cerebral palsy, is a permanent impairment caused by an injury to the central nervous system. It can happen during pregnancy (perinatal) or during early childhood. It can affect a broad range body movements, and its severity can range from mild to severe. The symptoms of the condition vary with age, but it's not progressive. In contrast to other conditions, it is not testable. However, a thorough and comprehensive evaluation can help medical professionals determine whether or not a child's condition is due to cerebral palsy. This includes a complete assessment of mobility and neurologic function. The examinations will focus on the child's muscle strength and balance, and also their reactions and ability to move. A musculoskeletal examination can identify hip dislocations, scoliosis and contractures. A speech and language assessment will also show the child's intellectual development as well as their capacity to create speech sounds. Cerebral Palsy is diagnosed using neuroimaging, which allows doctors to look at the brain in a detailed manner. This is a noninvasive way to assess the extent of brain damage. However, it does not allow doctors to determine the impact of this injury on the child's symptoms. In certain instances it is possible that a diagnosis of cerebral palsy is not able to be established until the child is several years old, as symptoms can change during this time. Despite this the classification of a condition based on its severity, topographical distribution and muscle tone is a good method of communicating the severity of impairment in a child and influence treatment. Physical and occupational therapy are among the most effective treatments for Cerebral Palsy. These can help improve the mobility of a child and reduce the risk of joint problems such as scoliosis. Speech therapy and adaptive equipment can assist the child with the daily tasks and help them to better interact with their family and friends. Based on the specific circumstances of the child's health There are also a variety of kinds of financial aid available. There are also charity groups and foundations who can help pay for treatment and medical care. Brachial Plexus Injury A brachial-plexus injury happens when the five nerves that connect to the neck spine to the spine are injured. These nerves transmit signals from the spine to the hand, shoulder and arm. Each side of the body has a brachial plexus. Some infants will recover without treatment, but the majority will benefit from occupational and physical therapy. A smaller percentage of infants might require surgery to achieve satisfactory results. A doctor can diagnose a baby with brachial plexus injuries based on the medical history and physical examination. A doctor may also order special imaging tests, like an MRI or a CT scan or nerve conduction study however these tests are less reliable for babies. Doctors can also test the strength and movement of the child's muscles in their arms by doing gentle range of motion exercises, which helps them track recovery over time. The symptoms of a plexus injury vary depending on the extent of the injury as well as which nerves are affected. The signs can include weakness of the arm, a lack of movement of the muscles, and a decrease in sensation (feeling) in the hand. The symptoms usually affect just one side of the body. However, occasionally both sides may be affected. Neonatal brachial-plexus palsy (NBPP) is the most common cause of a birth injury that affects the brachial nerve however it could also occur from other causes. Brachial plexus injuries are more common in babies who are large, who are born in a breech position, or those who have to be pulled during the birth. This type of injury is also prevalent for athletes who participate in contact sports, such as football, as well as from blunt trauma. birth injury law firm can be diagnosed at an early age, typically within six to eight weeks after birth. Most children will recover without intervention, but those who do not improve in a month's time need to be assessed by an expert team. The team typically consists of an orthopedic surgeon for children as well as a physiatrist and a physical therapy. Erb's Palsy The brachial plexus (pronounced brake-ee-al), is a grouping of nerves running from the spinal chord to the shoulder, then through the arm until the hand. If this nerve system becomes injured during delivery, it may cause weakness or paralysis of the affected arm. Erb's Palsy is the most frequent kind. It is caused by a significant stretching or tear to the upper brachial nerves during delivery. A doctor can identify Erb palsy through an examination of the baby's hand. The health care provider will be looking for a lack of movement in the affected arm, a sluggish wrist and lack of Moro reflex (the infant's involuntary response to the reduction in head support). The health professional may also order an imaging or nerve test such as an X-ray, an electromyogram, or ultrasound or study of nerve conduction. In many cases, Erb's palsy occurs when an inexperienced doctor applies too much lateral pressure to the infant during delivery with forceps. This kind of traction could be minimized by having the second phase of labor be less invasive or placing the mother on her back for part of the delivery. A doctor can also reduce the risk of injury by having the baby delivered via C-section. Other brachial plexus injuries are possible in addition to Erb's palsy. Klumpke Palsy is the most severe form of this condition that is characterized by damage to the lower brachial nerves. This type of injury can be described as “waiter's tips” because the limb is held to the side, rotated to the medially and pronated. It also is flexed, extended and flexed at the wrist. If your child is diagnosed with one of these ailments it is essential to consult a medical malpractice attorney right away. Beth has more than 18 years of experience in specialized experience in labor and delivery and can assist you in determining whether your child's medical provider was negligent and could have resulted in these injuries that could have been prevented. Hypoxic Ischemic Encephalopathy Hypoxic ischemic encephalopathy (HIE) is a condition that occurs when a birth defect restricts oxygen and blood flow to the baby. HIE is an extremely serious brain condition that can cause permanent brain damage. HIE's effects can be severe or mild and usually start within a few weeks of birth. HIE is among the many ailments that fall under the larger category of birth-related injuries called neonatal encephalopathy (NE). An infant can develop HIE from complications during the labor and birth process, such as excessive bleeding in the mother's blood vessels, a breech birth, a prolonged labor and delivery, or a forceps delivery. The baby's birth weight is low and could be the cause of HIE. To diagnose HIE, doctors will evaluate the infant's APGAR scores and look for signs of a neurological impairment. A low APGAR can indicate the need for immediate medical care. Doctors can use blood tests to determine the buildup of acid in the umbilical cord, which is an indication that a baby might have been suffering from an oxygen deficiency or a decrease in blood flow. If the child is suspected to have HIE the doctors usually try to treat it using a treatment known as therapeutic hypothermia. In this method, the child is placed in a cooling blanket, and a medication is administered to help them sleep. During the cooling process, doctors check the infant's heart rate and breathing, body temperature and brain activity. When a baby is completely re-warmed, the magnetic resonance imaging (MRI) scan will be performed. MRIs are the best method to determine HIE and its pattern of injury. The results of an MRI may reveal the time frame of injury, which is helpful in determining whether the child's symptoms may be due to HIE. If you are diagnosed with HIE, babies should be monitored closely for the rest of their lives. They'll see a pediatrician as well as a neurologist, and they may have physical, speech and occupational therapy to help them deal with their symptoms. The goal is to make the children as healthy as possible and help them achieve their full potential.