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May 2012 · Vol. 24, No. 5

Medical Verdicts

NOTABLE JUDGMENTS AND SETTLEMENTS

Mother dies 10 h post-delivery

AT 38 WEEKS’ GESTATION, a 20-year-old woman had preeclampsia and a borderline-low platelet count. She was admitted to a US Navy hospital for induction of labor.

When labor failed to progress after 53 hours, a cesarean delivery was performed. The patient suffered uncontrolled bleeding and developed HELLP syndrome (hemolysis, elevated liver enzymes, low platelet count). A platelet transfusion was needed, but the nearest supply was at a city hospital approximately 60 miles away. Because of bad weather, the patient could not be flown to the city. She died 10 hours after delivery.

ESTATE’S CLAIM A cesarean delivery should have been performed earlier. Lab results showing the severity of the mother’s condition at delivery were not read for 5 hours.

DEFENDANTS’ DEFENSE The case was settled before trial.

VERDICT A $2.1 million Missouri settlement was reached.

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