subject: Medical Malpractice Matter Against Physician For Baby's Severe Brain Injury Ends In Recovery For Fam [print this page] A monoamniotic-monochorionic twin pregnancy is a condition in which twins share the same amniotic sac. This is very rare dangerous pregnancy, which can cause the umbilical cords of the two babies to become intertwined. In the event that this takes place both babies could die or one of the twins could die and the other suffer a serious brain injury. In circumstances in which umbilical cord occlusion happens, time is of the essence for the physician to identify the complication and do an emergency C-section.
In a percentage of pregnancies with twins a condition can come up in which both twins grow inside a single amniotic sac. This situation is recognized as a monoamniotic-monochorionic pregnancy. There is the possibility that the umbilical cords can become intertwined placing at risk the health and even the live of the babies. In some cases where there is umbilical cord occlusion both twins die. In different scenarios one twin survives but sustains considerable brain damage. Physicians generally concur that these pregnancies should be thoroughly monitored. That way in the event that an umbilical cord problem develops an immediate emergency C-section may be necessary for the babies to survive.
In the uncommon circumstance in which unborn twins share the same amniotic sac there is a significant threat that their umbilical cords can be knotted. This restricts the oxygen supply to the twins. Sometimes both babies die. In some other situations even though one baby survives that twin will suffer a severe brain injury. An emergency C-section immediately after an umbilical cord occlusion occurs is the only way to save both babies and prevent a brain injury. This requires careful monitoring of the pregnant woman throughout the pregnancy for signs that the umbilical cords are knotted.
One kind of dangerous pregnancy happens if the woman has twins in a single amniotic sac, a condition referred to as monoamniotic-monochorionic twins. This class of pregnancy carries the known risk of umbilical cord entanglement. When this happens the oxygen supply to the babies can be cut off. Oxygen is necessary for the babies to be health. Being subjected to a prolonged length of time under oxygen insufficiency can produce brain damage or possibly the death of the twins. Because this is a known complication of a monoamniotic-monochorionic twin pregnancy the expectant mothers physician ought to carefully track the pregnancy for any signs of umbilical cord occlusion. Doctors generally concur that in order to protect the life and health of the babies the medically appropriate course of action is an emergency C-section as soon as indications of this complication turn up.
In this article we explore a reported case in which the pregnant woman was diagnosed with this sort of pregnancy. Starting in the twenty sixth week of pregnancy her doctor ordered twice a week non-stress testing to keep tabs on vital signs of her twins. While it was common practice to hospitalize the woman and have the twins monitored every day, the doctor did not do this and sometime between two tests, one twin died and the other twin suffered significant brain damage.
The family filed a lawsuit claiming medical malpractice. Even though the mother and father had suffered a tragic loss, the defense did not settle. The law firm that represented the family took the matter 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 against the doctor 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 necessary to hospitalized the pregnant woman at approximately the twenty sixth week of her pregnancy and to do non-stress tests at least daily, if not two to three times daily, to follow the vital signs of the twins.
by: Joseph Hernandez
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