Archive for December, 2008

Birth Injuries Tragic Form of Malpractice

Tuesday, December 23rd, 2008
Patricia Woloch asked:


Medical malpractice occurs when a physician or some other healthcare provider fails to act reasonably under the circumstances, and the unreasonable conduct results in harm. When a medical practitioner’s conduct hurts an infant, the malpractice is especially tragic.

While most of the 2.7% of births that result in a birth injury in the United States are minor and cause only bruising, the more serious injuries can result in lifelong developmental and physical disabilities. A newborn’s bones and nerves are relatively vulnerable to fractures and other damage.

Lifelong developmental disabilities or neurological disorders that result from medical malpractice include cerebral palsy, autism, epilepsy, learning disabilities, mental retardation, and brain damage. In such cases, the newborn and its family will likely endure severe, long-term emotional and financial hardships.

Cerebral Palsy

The most common birth injury resulting in legal action is cerebral palsy (CP), a condition that is actually a group of disorders in which the victim’s ability to control his or her body is impaired. Birth asphyxia, one of the primary causes of non-genetically induced CP, can occur when medical staff fails to properly conduct electronic fetal monitoring or other post-birth observations.

Doctors must be prepared for potential birth asphyxia during delivery, which occurs when the infant does not receive enough oxygen. One option doctors have to reduce the likelihood of birth asphyxia is to perform a c-section (cesarean section). The failure to do so when warranted may constitute medical malpractice. Other common preventable errors include:

• Mishandling an infant with shoulder dystocia, which is when the infant’s shoulder becomes lodged in the mother’s pelvis. This can stretch the brachial plexus, a network of spinal nerves that enter the base of the skull. A child with brachial plexus birth injuries may suffer Erb’s palsy, Klumpke Palsy, and CP, among other disabilities.

• Misdiagnosing gestational diabetes, which can result in an oversized baby requiring specialized care.

• Inducing labor too late.

• Misusing medical instruments, such as forceps during a c-section.

• Incorrect medication



Pamela
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Is an at home doppler or fetal heartbeat monitor worth buying?

Sunday, December 21st, 2008
mom of twins asked:


I’m 12 weeks with twin and have just heard about at home heartbeat montiors you can buy fairly cheap and listen to your baby’s heartbeat at home. Has anyone used these? How effective are they? Am I too early to hear anything?

Harry
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I want to buy one of those fetal heart monitors, when is a good time to buy one?

Sunday, December 21st, 2008
Kelsey’s Mommy asked:


I am 13.5 weeks pregnant….

Nicole
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Lab-based Blood Typing Vs Home-based Kits: a Comparative Analysis

Monday, December 15th, 2008
Tarun Gupta asked:


Blood typing is a method of determining a person’s blood type by serological methods. It is important to know your blood type for various reasons. In case of blood transfusions, organ transplantation, pregnancy etc., knowing one’s blood type is very crucial for various medical purposes. These blood types depend on whether or not there are certain antigens on the red blood cells & if there are antibodies to these substances in your blood. Some of these methods are Laboratory based while some are home based & are available in the form of easy-to-use kits. A range of Laboratory based tests are available nowadays, including:

• Direct Coombs test: This test determines the presence of antibodies to the red blood cells & allows detection of baby’s blood cell destruction by an antibody reaction (Rh, Kell, etc.).

• Indirect Coombs test: This test can screen for minor blood factors & presence of antibodies. It is always done on an Rh- mother. This test detects the presence of antibodies (anti-Rh and others) only. If the Indirect Coombs comes up positive, Rh antibody titer test is necessary to determine the type and level of antibody in the blood type.

• Rh antibody titer: If an Indirect Coombs test comes back positive, this test determines the type and quantity of antibodies in the blood. Since the anti-Rh is the most sensitizing, they are the ones most likely to rise during the pregnancy and cause problems. Depending on the level of other antibodies (e.g. anti-Kell) these antibodies could cause hemolytic problems in the baby and need to be monitored. It is usually repeated several times during pregnancy (at 32, 36, & 38 weeks).

• Keihauser-Betke stain: In any case where a possibility of blood mixing is suspected, the Kleihauser-Betke stain should be done. It checks for fetal blood cells in the mother’s system and is usually done only when excessive fetal transfusion is suspected. It determines if the mother needs more than one injection of Rhogam.

Home based Testing Kits:

Such home blood type testing kits are now available in the market and due to the ease of their use, they are quite popular. They usually work on the principles of immuno-precipitation and involve antibodies attached to a solid matrix in the form of strips & detection is facilitated by calorimetric assays.

Saliva based Blood typing kits:

There are certain home based tests that help in determining blood types without drawing blood. In 80% of the population, blood group antigens are also present in the saliva. In such groups, ABO blood types can be detected using their saliva instead of blood. Such kits are also based on the same principles of immuno-precipitation.

Comparative Analysis:

While Laboratory based methods are usually extensive in nature for advanced diagnostics of potential hoemolytic problems associated with agglutination, home based kits on the other hand are quite simple in nature & approach for they usually are limited to detection of few antigens only. Although lab based tests are far more reliable and accurate than the home based tests but home based tests are far easier to conduct. With just few drops of blood, you can find out your blood type within minutes. So for rapid & easy analysis, such kits certainly come handy.



Karen
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About how many times does your baby move or kick during the day in the 3rd trimester?

Sunday, December 14th, 2008
New mommy to baby Alexia! asked:


I’m 33 weeks and my baby used to move more before. Now she has slowed down a bit. My doc checked with a fetal monitor and ultrasound and said she was fine…

But an hour can pass without any movement from her. Usually her active hours are at night. Is this normal for her to have some quiet time during the day?? (even a whole hour with no movement?)

Marcia

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What is the medical term For a fetal monitor used during labor and delivery?

Friday, December 12th, 2008
Arvind V asked:


I know its not tocograph or tocometer. Am I missing something?

Cynthia
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Doppler Fetal Monitors. Attn: Mom’s to be?

Friday, December 12th, 2008
Cailey’s mommy! asked:


Hi ladies!
This is more of informative info for mommy’s to be.
I just bought a doppler fetal heartrate monitor on ebay. It’s actually the same one my doctor’s office used last week to hear our babies heartrate.

The same one online I saw for $599! A little ridiculus I know.

I contacted a seller on ebay and just bought one for $79.99! With shipping it was $95!
It is brand new and comes with a 1 year warranty. The seller on ebay has about 150 positive feedback remarks about this same product.

I thought I would fill you in because I think the $95 is well worth being able to listen to my baby’s heart beat whenever I want.

It should be here next week and I will let you all know how it works!

Feel free to contact me for more info.
I’m excited!
Here is the seller’s contact on ebay!
smart_auctions_around

Francisco

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Has anyone ever brought prenatal monitor/fetal doppler?

Friday, December 12th, 2008
Dakotah Fayth will be here soon! asked:


Just wondering where I can buy a good one at? I want to listen to my babies heartbeat when I want to.

Holly
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Where can I get a fetal heart monitor to monitor the babies heart?

Thursday, December 11th, 2008
tamjasnaieli asked:


I am looking for the one they use in the docs office to listen to the babies heart, but not as expensive. I dont want the one with the head phones they dont work. Can anyone help.

Tamara
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Taiyi Brand Fetal Heart Doppler Monitor / Have you used one?

Thursday, December 11th, 2008
CaliforniaLove asked:


I just purchsed a Taiyi brand Fetal Heart Monitor off of ebay. I paid $81 + $16 shipping. It looks just like the doctors one. Plus the company has a refund policy. I am hoping it works! I am 15 weeks!

Have you used this brand monitor?

Plus, where do I buy the gel that works with these monitors?

Natalie

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