Attorney Joumana Kayrouz

Birth Injury

Medical Malpractice

The first moments of a life should never cause a lifetime of harm.

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Overview

A birth injury can change a family forever, and when negligent care during pregnancy, labor, or delivery causes lasting harm to a child or mother, the law offers a path to accountability.

Birth Injury

When a Birth Injury Raises Questions About Medical Care

The birth of a child should come with answers, not unanswered questions about whether something went wrong. If a baby or mother suffers a serious injury during labor or delivery, families often want to know whether the outcome was unavoidable.

Not every difficult delivery or medical complication is malpractice. However, preventable errors can cause devastating injuries to babies and mothers. A Michigan birth injury lawyer can investigate the care provided and help determine whether medical negligence contributed to the harm.

What Is a Birth Injury?

A birth injury is physical or neurological harm that occurs before, during, or shortly after delivery. Some birth injuries heal with treatment, while others can cause permanent disabilities or lifelong medical needs. A birth injury claim may involve medical malpractice when a healthcare provider fails to meet the applicable standard of care. The family must generally establish that the failure caused or contributed to the injury.

Birth injury cases may involve:

Labor and delivery negligenceDelayed C-sectionsFetal distressOxygen deprivationHypoxic-ischemic encephalopathy, or HIECerebral palsyBrachial plexus injuriesErb’s palsyMaternal hemorrhageMaternal injuriesStillbirth-related claims

Birth Injury vs. Birth Defect

A birth injury and a birth defect are not necessarily the same thing. A birth defect may develop because of genetic, developmental, environmental, or other factors. A birth injury usually refers to harm occurring during pregnancy, labor, delivery, or immediate newborn care. Determining the cause requires careful review of the medical evidence.

What Types of Medical Negligence Can Cause Birth Injuries?

Medical professionals must monitor both mother and baby throughout labor and delivery. They must also respond appropriately when signs suggest that either patient is in danger. Labor and delivery negligence can take several forms. The critical issue is whether the healthcare provider’s conduct fell below the applicable standard of care.

Potential examples include:

  • Failing to monitor fetal heart rate appropriately
  • Failing to recognize signs of fetal distress
  • Delaying an emergency C-section
  • Failing to respond to prolonged or obstructed labor
  • Misusing forceps or vacuum extraction
  • Using excessive force during delivery
  • Failing to manage shoulder dystocia appropriately
  • Making medication or anesthesia errors
  • Failing to recognize maternal bleeding
  • Delaying treatment for serious maternal complications

A poor outcome does not prove medical malpractice. Birth injury cases require evidence connecting the provider’s actions or omissions to the resulting harm.

What Is Labor and Delivery Negligence?

Labor and delivery negligence occurs when medical care falls below the professional standard expected under the circumstances. The specific standard depends on the provider, medical situation, and available information. For example, a fetal heart rate may begin showing concerning changes during labor. The medical team may need to evaluate those changes and determine whether intervention is necessary.

Michigan medical malpractice cases often depend heavily on qualified expert testimony. State law establishes specific qualifications for experts who testify about the applicable standard of care. (Michigan Legislature)

Fetal Distress, Oxygen Deprivation, and HIE

A baby’s condition can change quickly during labor. Fetal monitoring allows the medical team to watch for certain signs that may indicate the baby is struggling. Fetal distress is a broad term that may describe signs suggesting the baby is not tolerating labor well. Abnormal fetal heart rate patterns can sometimes signal oxygen-related problems.

What Happens When a Baby Does Not Receive Enough Oxygen?

Reduced oxygen can affect a baby’s brain and other organs. The severity depends on several factors, including how long oxygen levels were reduced. Possible consequences may include:

Brain injurySeizuresDevelopmental delaysMotor impairmentOrgan damageHIECerebral palsyPermanent neurological disability

The presence of oxygen deprivation does not automatically establish negligence. Lawyers and medical experts must examine why the oxygen loss happened and how providers responded.

What Is HIE?

Hypoxic-ischemic encephalopathy is a type of brain injury associated with inadequate oxygen and blood flow to the brain. It can occur before, during, or shortly after birth. HIE can range from mild to severe. Some children recover with limited effects, while others experience significant neurological or developmental challenges.

An HIE investigation may review:

Fetal monitoring stripsLabor progressionMaternal vital signsDelivery recordsTiming of medical interventionsUmbilical cord blood resultsAPGAR scoresNICU recordsImaging studiesNeurological evaluations

The timing of events can be especially important. A detailed medical timeline may reveal when warning signs appeared and how the medical team responded.

Cerebral Palsy and Birth Injury Claims

Cerebral palsy affects movement, posture, muscle coordination, and motor function. It results from abnormal brain development or damage to the developing brain. Cerebral palsy has many possible causes. A diagnosis does not mean that medical negligence occurred.

However, families may investigate a potential claim when evidence suggests preventable harm occurred during labor or delivery. Possible issues can include untreated fetal distress or a delayed response to oxygen deprivation.

Can a Delayed C-Section Contribute to Cerebral Palsy?

A delayed C-section may become relevant when medical circumstances require prompt delivery. The legal question depends on what providers knew and when they knew it. A birth injury investigation may examine:

Fetal heart rate changesSigns of prolonged fetal distressLabor progressionMaternal complicationsThe decision to order a C-sectionThe time between that decision and delivery

Every situation is medically different. A qualified medical expert can help evaluate whether intervention should have occurred sooner.

Brachial Plexus Injuries and Erb’s Palsy

The brachial plexus is a network of nerves between the neck and shoulder. These nerves help control movement and sensation in the shoulder, arm, and hand. A brachial plexus injury can happen when these nerves are stretched, compressed, or torn. Some injuries resolve over time, while severe injuries may cause lasting weakness or paralysis.

What Is Erb’s Palsy?

Erb’s palsy is a form of brachial plexus injury affecting particular nerves in the upper arm. Parents may notice weakness or limited movement in the baby’s affected arm. Possible signs can include:

Weakness in one armLimited shoulder movementReduced elbow movementAn arm held close to the bodyReduced grip or reflexesPartial or complete paralysis in severe cases

Erb’s palsy can occur for several reasons. Its presence does not automatically mean the delivery team was negligent.

Can Shoulder Dystocia Lead to a Brachial Plexus Injury?

Shoulder dystocia occurs when a baby’s shoulder becomes lodged after the head is delivered. It is a known obstetric emergency that requires appropriate management. A legal investigation may examine whether excessive traction or force was used during delivery. It may also consider whether recognized obstetric maneuvers were performed appropriately.

Birth Injuries Can Affect Mothers Too

Birth injury cases are not limited to injuries suffered by newborns. Mothers can also sustain severe and sometimes life-threatening injuries during childbirth. Maternal injuries may result from an unavoidable complication. They may also raise questions about whether warning signs were recognized and treated correctly.

Potential maternal injuries include:

Severe hemorrhageSurgical injuriesUterine injuryOrgan damageInfectionComplications from anesthesiaUncontrolled high blood pressureBlood clotsInjuries associated with emergency procedures

Maternal Hemorrhage

Maternal hemorrhage involves excessive bleeding during or after childbirth. Significant blood loss can become a medical emergency. Medical providers may need to identify the source of bleeding and intervene promptly. Treatment depends on the circumstances and severity of the hemorrhage.

A potential maternal hemorrhage claim may involve questions such as:

  • Was excessive bleeding recognized quickly?
  • Were the mother’s vital signs monitored appropriately?
  • Was medication provided when medically appropriate?
  • Was surgery delayed?
  • Were blood products available when needed?
  • Was the source of bleeding properly investigated?

The legal issue is not simply whether hemorrhage occurred. The question is whether negligent care caused additional or preventable harm.

Can Families Bring Claims After a Stillbirth?

Stillbirth is an extraordinarily serious pregnancy outcome. It can occur for many reasons, and some cases cannot be prevented despite appropriate medical care. Stillbirth-related claims require careful medical and legal investigation. A family may have questions when there were warning signs that were missed or not addressed.

Potential areas of investigation may include:

  • Failure to recognize fetal distress
  • Failure to respond to abnormal fetal monitoring
  • Delayed delivery
  • Delayed C-section
  • Failure to investigate concerning symptoms
  • Failure to manage certain maternal conditions
  • Failure to respond to abnormal prenatal testing

Michigan law expressly addresses certain wrongful or negligent acts resulting in miscarriage, stillbirth, or injury to an embryo or fetus. The statute also contains specific exceptions involving medical procedures and other circumstances. (Michigan Legislature)

These claims can involve complicated questions about medical malpractice, damages, and who may bring an action. Families should have the specific facts reviewed by a qualified Michigan attorney.

How Do You Know If a Birth Injury Was Caused by Negligence?

Families rarely have enough information immediately after delivery to know whether malpractice occurred. Medical records, monitoring data, and expert analysis may be necessary. A birth injury investigation generally considers four central questions:

  • What standard of care applied? Healthcare professionals must provide care consistent with the legally applicable professional standard.
  • Did someone fail to meet that standard? The investigation examines what providers did and what they failed to do.
  • Did that failure cause the injury? There must generally be a connection between the negligent care and the patient’s harm.
  • What losses resulted? The claim may also examine medical needs, disabilities, financial losses, and other damages.

Why Medical Experts Matter

Birth injury cases often involve complex obstetric, neurological, neonatal, or surgical questions. The medical records may contain information that families could not reasonably interpret themselves. Michigan also has specific statutory requirements concerning expert testimony in medical malpractice actions. For example, the law addresses the qualifications required of experts who testify about a specialist’s standard of care. (Michigan Legislature)

Who May Be Responsible for a Birth Injury?

Responsibility depends on who provided care and what caused the injury. More than one healthcare professional or organization may be involved. Potential defendants could include:

ObstetriciansPhysiciansNursesCertified medical professionalsAnesthesia providersHospitalsMedical practicesOther healthcare facilities

Liability is not automatic because someone participated in the delivery. Each person’s actions must be evaluated based on the facts and applicable law.

Can a Hospital Be Responsible?

A hospital may be involved in a medical malpractice claim depending on the relationship between the facility and the providers involved. Hospital policies, staffing, communication, and emergency response can also become relevant. For example, an investigation might examine whether an emergency obstetric team was available when intervention became necessary. It might also consider whether hospital systems contributed to a harmful delay.

What Compensation May Be Available in a Michigan Birth Injury Case?

A serious birth injury can create needs that continue for years. Some children may require lifelong medical care, therapy, equipment, or personal assistance. Compensation in a successful claim depends on the injuries and Michigan law. Recoverable damages may include both economic and legally recognized noneconomic losses.

Potential damages may include:

Past medical expensesFuture medical treatmentPhysical therapyOccupational therapySpeech therapyRehabilitationAssistive technologyMobility equipmentHome modificationsPersonal care assistanceFuture care needsLost earning capacity when applicablePain and suffering when legally recoverableDisability and other legally recognized losses

Michigan medical malpractice law places statutory limits on certain noneconomic damages. Those limits are adjusted over time, and higher limits may apply in specific circumstances. (Michigan) The value of any claim depends on the individual facts. No lawyer can responsibly determine a case’s value without understanding the injury and available evidence.

How Long Do You Have to File a Michigan Birth Injury Claim?

Michigan medical malpractice deadlines are complicated. Families should not assume that a child’s age means there is unlimited time to investigate a claim. Under Michigan law, a medical malpractice claim generally accrues when the act or omission forming the basis of the claim occurs. Michigan also has discovery provisions and additional rules affecting certain cases. (Michigan Legislature)

Do Children Have Different Deadlines?

Michigan law contains special provisions for medical malpractice claims involving minors. Those rules can depend on the child’s age and other facts. Because several statutes can interact, online deadline calculators are not a reliable substitute for legal review. Waiting can also make evidence harder to obtain.

Medical malpractice cases have procedural requirements before and during filing. Michigan law also governs expert qualifications and other aspects of these claims. (Michigan Legislature) If you suspect a birth injury was preventable, consider speaking with an attorney promptly. A lawyer can evaluate which deadlines apply to the specific circumstances.

What Evidence Can Help Explain What Happened?

Birth injury cases are often built by reconstructing the medical timeline. Small details can become important when determining when a complication developed. Relevant evidence may include:

Prenatal recordsUltrasound recordsMaternal medical historyLabor and delivery recordsFetal heart monitoring stripsNursing notesMedication recordsAnesthesia recordsC-section recordsOperative reportsAPGAR scoresCord blood testingNICU recordsBrain imagingNeurological evaluationsPediatric recordsRehabilitation records

Why Fetal Monitoring Records Matter

Fetal monitoring can provide information about a baby’s heart rate during labor. Patterns in those records may help experts understand how the baby responded to contractions and other events. The records can also establish a timeline. Experts may compare monitoring changes with physician decisions, nursing responses, medications, and the eventual delivery.

Why Timing Matters

In some birth injury cases, a few critical events may determine whether appropriate care was provided. The question may involve when distress appeared and when medical intervention occurred. A detailed timeline can help answer questions that families could not answer from memory alone. It can also identify records that require additional medical review.

Understanding What Happened Is the First Step Forward

Parents may leave the hospital knowing their child was seriously injured but not knowing why. Mothers can face the same uncertainty after suffering unexpected complications or lasting harm. A difficult medical outcome does not always mean someone was negligent. But families deserve clear answers when the evidence raises serious questions. A careful investigation can help determine whether appropriate care was provided and whether preventable negligence contributed to the injury.

Get Answers About Your Family’s Birth Injury

If your baby or the mother suffered a serious injury during pregnancy, labor, delivery, or immediate postpartum care, you do not have to investigate the medical records alone. Joumana Law can review what happened and help you understand whether further legal evaluation is appropriate.

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Free ConsultationTalk to Joumana KayrouzCall now or send us your case. Your consultation is free, and you pay no fee unless we win.866-YOUR-RIGHTS248-557-3645Free case reviewLaw Offices of Joumana Kayrouz, P.L.L.C.
24370 Northwest Highway
Southfield, MI 48075

Legal Disclaimer

Every case is different. This page provides general educational information and is not legal advice. The existence, value and legal viability of any claim depend on the particular facts, applicable law, insurance coverage and jurisdiction. Listing a case type does not mean Joumana Law will accept or directly handle every matter. Depending on the circumstances, location and legal issues involved, the firm may work with qualified co-counsel or refer a matter to another attorney. Prior results do not guarantee a similar outcome. Speak with a lawyer about your individual rights and any deadlines that may apply.

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Frequently Asked

Answers before you ask.

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How Do Lawyers Determine Whether a Birth Injury Was Preventable?

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Lawyers generally begin by reviewing the medical timeline and relevant records. Qualified medical experts may then evaluate whether providers complied with the appropriate standard of care.

The goal is not to assume malpractice occurred. It is to understand what happened and determine whether preventable medical negligence caused the injury.

Can Parents Pursue a Claim After a Stillbirth?

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Potential claims involving stillbirth require detailed legal analysis. Michigan law addresses certain wrongful or negligent acts resulting in miscarriage or stillbirth. (Michigan Legislature)

Medical malpractice claims also involve separate standards and procedural requirements. An attorney should evaluate the medical facts and applicable law before determining whether a claim exists.

Can a Mother Bring a Claim for Injuries During Childbirth?

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A mother may have a medical malpractice claim if negligent care causes her injuries. Examples may include untreated hemorrhage, surgical injury, infection, or other preventable harm.

The facts must establish both negligent care and causation. The available damages will also depend on the injuries and Michigan law.

Can Erb’s Palsy Be Caused During Delivery?

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Yes, some brachial plexus injuries can occur during delivery. They may be associated with difficult births or shoulder dystocia.

However, not every brachial plexus injury results from malpractice. Medical experts may need to evaluate how the delivery occurred.

Is Cerebral Palsy Always Caused by a Birth Injury?

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No. Cerebral palsy has many possible causes, including factors unrelated to labor or delivery.

A legal investigation may be appropriate when evidence suggests preventable brain injury occurred during childbirth. The diagnosis alone does not establish negligence.

Can Oxygen Deprivation During Birth Cause HIE?

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HIE is associated with inadequate oxygen and blood flow to the brain. However, determining when and why the injury occurred requires medical evaluation.

The legal question is whether negligent medical care caused or worsened the oxygen deprivation. Medical records and qualified experts are usually central to that analysis.

Can a Delayed C-Section Lead to a Birth Injury Claim?

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Potentially. A delayed C-section may support a claim if timely delivery was medically required and an unreasonable delay caused injury.

The analysis depends on fetal monitoring, maternal condition, labor progression, and other medical evidence. Timing is often an important part of the investigation.

Is Every Birth Injury Medical Malpractice?

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No. Birth injuries can happen even when doctors and nurses provide appropriate medical care.

Medical malpractice generally requires evidence that the applicable standard of care was violated. The negligence must also have caused or contributed to the injury.

Are there special rules for malpractice claims in Michigan?

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Yes. Michigan imposes pre-suit notice requirements and shortened deadlines that catch many families off guard, and the records take time to gather and review. The sooner a case is evaluated, the more can be done to protect it.

What counts as medical malpractice?

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Medical malpractice is a preventable departure from the accepted standard of care that causes harm. Proving it usually requires the complete medical record and review by qualified medical experts.

When should I contact a lawyer after an injury?

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As soon as you can. Early involvement helps protect evidence, avoid mistakes with insurers, and keep your claim on track before important deadlines pass.

What documents should I keep?

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Keep anything related to the incident and your recovery: medical records and bills, photos, the police or incident report, insurance letters, and a simple record of missed work and out-of-pocket costs.

How will I pay my medical bills while my case is pending?

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Depending on your situation, options may include your own health insurance, No-Fault benefits, or arrangements with providers. We can help you understand what may be available while your case moves forward.

The insurance company already offered me a settlement. Should I accept it?

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Early offers are often lower than what a claim may be worth, and accepting one can waive your right to seek more. Let us review the offer for free before you decide.

Should I talk to the insurance company myself?

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Be careful. Insurance adjusters may ask for recorded statements or push for a quick, low settlement. It is usually best to speak with a lawyer before giving a statement or signing anything.

What types of cases does the firm handle?

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We handle a wide range of personal injury matters, including car and truck accidents, motorcycle accidents, medical malpractice, wrongful death, slip and fall, dog bites, and other serious injury claims.

Do you handle cases outside Michigan?

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Our home is metro Detroit and we serve clients throughout Michigan, and we also represent clients nationwide. Where a matter requires it, we coordinate with local counsel.

What if I was partly at fault?

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You may still be able to recover compensation even if you were partly at fault. Michigan law can reduce a recovery based on your share of fault, so it is worth having us review the details.

How long does a personal injury case take?

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It depends on the complexity of the case, the injuries involved, and whether the other side is willing to settle fairly. Some cases resolve in months, others take longer. We work to move your case as efficiently as possible.

Do I have to go to court?

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Many personal injury cases settle without a trial. If a fair settlement cannot be reached, we are prepared to take your case to court. We will explain your options at every step.

What is my case worth?

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Every case is different. Value depends on factors like medical costs, lost income, the severity of your injuries, and their long-term impact. We can review your situation for free and give you an honest assessment.

What should I do right after an accident?

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Get medical attention first, even if you feel fine. Then, if you can, document the scene, keep records of your treatment and expenses, and be careful about giving recorded statements to insurers before speaking with a lawyer.

How long do I have to file a personal injury claim?

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Michigan sets filing deadlines, called statutes of limitation, that vary by the type of case. Because missing a deadline can end your claim, it is best to contact us as soon as possible so we can review the timeline that applies to you.

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