Orlando Birth Injury Lawyers

Orlando Fetal Intolerance to Labor Attorneys

Helping Clients Across Orange County and Southwest Florida

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    Orlando Birth Injury Lawyers

    Orlando Fetal Intolerance to Labor Attorneys

    Helping Clients Across Orange County and Southwest Florida

    Do You Need Legal Help?

      Elizabeth H. Faiella

      Elizabeth has represented plaintiffs in numerous jury trials since 1976. A member of the exclusive Inner Circle of Advocates, Elizabeth is a legal powerhouse who has been given numerous awards and honors--and she's not done yet.

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      Peter J. "Tres" Gulden, III

      The son of a doctor and an attorney, Peter has a unique and in-depth understanding of all the complicated medical and legal issues involved in a malpractice claim. He has won many 7-figure verdicts for clients since joining his mother's firm in 2004.

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      Allison C. McMillen

      Allison C. McMillen is proud to be a second-generation plaintiffs’ attorney representing victims of medical malpractice, having practiced with her father, attorney Scott R. McMillen, for over a decade before joining the team at Faiella & Gulden, P.A.

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      "One of the BEST law firms in the country. Elizabeth Faiella and her team are true professionals. I’ve had the opportunity to work with them and never hesitate to recommend them to anyone needing a personal injury or medical malpractice law firm."

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      I have observed and worked with Faiella & Gulden as a registered nurse for over 25 years. Their legal & medical knowledge is unprecedented. They're dedicated, compassionate and goes to any length to obtain justice for each client.

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      Orlando Fetal Intolerance to Labor Attorneys

      What Happens When Doctors Don’t Respond to Fetal Distress

      Childbirth is a stressful time for parents, but the reward for enduring this process is usually a healthy newborn. Sadly, over 28,000 children (about 7 in 1,000) suffer some type of birth injury each year in the United States. Some of these injuries are caused when “fetal intolerance to labor” (also known as “fetal distress“) occurs, and the baby begins to suffer from a lack of oxygen due to a period of decreased blood flow from the mother. Without quick identification and action on the part of the medical team, the baby could suffer permanent brain damage and may even die.

      Diagnosing Fetal Distress

      Electronic fetal heart monitors allow medical professionals to evaluate babies during delivery. Doctors use these monitors in order to check the baby’s heart rate for:

      • Tachycardia – when the heart rate is too fast
      • Bradycardia – when the heart rate is too slow
      • Arrhythmia – when the heart rate is irregular

      Any of these can indicate fetal intolerance to labor. In addition, doctors will inquire about the amount of movement of the baby in the womb. If the movement has decreased significantly, this can also be a sign of fetal distress.

      Increased Risk Factors

      Some expectant mothers represent a higher risk for fetal intolerance to labor. In these cases, the doctor should explain the potential for fetal distress to the parents and monitor the baby vigilantly throughout pregnancy. In addition, the medical team should be prepared to act immediately if there are any signs that the baby might be in distress. The risk of fetal distress is increased in cases where:

      • the mother is 35 years old or older
      • the mother has preeclampsia
      • the mother has gestational diabetes or a critical illness
      • the baby is surrounded by too much or too little amniotic fluid
      • there are multiple babies in the womb

      When Fetal Distress Is Discovered

      Early detection and proper medical intervention are critical to protecting the health of an unborn child during labor. As soon as a heart rate abnormality is detected, the medical team may take any of the follow steps to assist the baby:

      • Give the mother additional intravenous fluids
      • Reposition the mother
      • Add fluids to the amniotic cavity to try and remove pressure from the umbilical cord
      • Give the mother oxygen to increase the oxygen supply flowing to the baby

      If the medical team is unable to relieve the baby’s distress, then the baby must be delivered as soon as possible to reduce the risk of permanent brain damage or death. In most cases, a cesarean section delivery will need to be performed.

      Other Causes of Fetal Distress

      In addition to naturally occurring causes of fetal distress, this condition can be caused by a failure on the part of the healthcare provider. For example, if the mother’s medical team fails to intervene during a prolonged labor, the baby may experience low oxygen levels from unceasing contractions and may end up suffering a birth injury.

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      To Understand Your Rights, Speak to an Orlando Birth Injury Lawyer

      It can be difficult to process the fact that your child was injured as a result of malpractice by trusted medical providers. And, as you try to understand what happened and ask questions of your medical team, you may find that doctors and nurses are no longer willing to speak to you. You may be referred to administrative staff or even insurance personnel.

      The team at Faiella & Gulden, P.A., has been helping families just like yours for almost four decades. Call our Orlando birth injury lawyers today at (407) 470-1225 and learn how our family-operated law firm can assist your child. The consultation is free and we work on a contingency basis, so you never need to worry about paying fees or the cost of expenses until we obtain a settlement or a verdict in your favor.

      Frequently Asked Questions About Fetal Intolerance to Labor in Orlando, FL

      The terms are often used interchangeably, but ‘fetal intolerance to labor’ or ‘non-reassuring fetal status’ are now preferred by medical professionals over ‘fetal distress.’ They describe a situation where the fetus is not coping well with the stress of labor, indicated by concerning patterns on the fetal heart monitor that suggest a risk of oxygen deprivation.

      Late decelerations are temporary drops in the baby’s heart rate that begin after a contraction has started and end after the contraction is over. They are a very concerning sign on a fetal monitoring strip, often indicating uteroplacental insufficiency, meaning the baby is not getting enough oxygen from the placenta. Persistent late decelerations require immediate medical intervention.

      The standard of care requires doctors and nurses to perform ‘intrauterine resuscitation’ measures. This can include changing the mother’s position, giving her oxygen and IV fluids, and stopping or reducing Pitocin. If these steps do not resolve the concerning heart rate patterns, an emergency C-section is often necessary to prevent injury.

      Yes. Pitocin is a powerful drug used to induce or strengthen contractions. If used improperly or at too high a dose, it can cause contractions to be too strong or too frequent (uterine tachysystole). This doesn’t allow the baby enough time to recover and receive oxygen between contractions, leading directly to fetal intolerance.

      Intrauterine resuscitation refers to a set of specific, immediate actions taken by medical staff to improve the baby’s oxygen supply while still in the womb. The goal is to correct the non-reassuring fetal heart patterns. Common steps include giving the mother oxygen, increasing IV fluids, and turning her onto her left side.

      A failure to properly respond to fetal intolerance can lead to oxygen deprivation (birth asphyxia), which can cause catastrophic and permanent injuries. These include Hypoxic Ischemic Encephalopathy (HIE), which is a type of brain damage that often results in cerebral palsy, seizures, developmental delays, and other lifelong disabilities.

      A lawyer proves mismanagement primarily by using the fetal heart monitoring strips as evidence. These strips provide a second-by-second record of the baby’s condition. Your attorney will hire leading medical experts (obstetricians, neonatologists) to analyze these strips and testify that the patterns showed clear signs of intolerance and that the medical team’s delayed response breached the standard of care.

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      Frank Stieg

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