Southern California Doctors' Medical Malpractice Causing Erb's Palsy
This is the third in a three-part series about birth injuries in Los Angeles County.
Macrosomia is a condition in which a fetus’ birth weight is much greater than is normal during pregnancy. Generally, macrosomia is defined as a birth weight greater than 4000 grams or 8 pounds, 13 ounces. It is a condition that affects one in ten pregnancies.
Some factors that contribute to macrosomia - genetics, ethnicity, and the size of the parents - cannot be controlled. Other factors that may predispose a fetus to unusual growth in utero can be identified and should be addressed by the obstetrician. If the mother has gestational diabetes, excessive weight gain or diabetes mellitus, her fetus is at risk to develop macrosomia, which is associated with birth trauma to the baby and mother. Women whose pregnancies go on longer than they should are also at risk to develop macrosomic babies.
The larger the fetus, the greater likelihood that the baby and/or mother will suffer injuries during delivery. If there is ultrasound evidence that the baby is very large, the doctor needs to take this into consideration when discussing delivery options with the parents.
A woman with a history of having had several large babies without difficulty vaginally may be an appropriate candidate for a vaginal delivery. A petite woman pregnant with a first baby that appears on ultrasound to weigh nearly ten pounds, should be advised of the risks of vaginal delivery and advised to undergo a planned Cesarean section.
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Cerebral palsy can occur when oxygen to the fetus is interrupted during labor or delivery. Monitoring of the baby during labor is done to detect changes in the baby's heart rate which may signal a problem. If the amount of oxygen the baby is getting is reduced or cut off during labor, the baby's heart rate will change and its ability to recover from the stress caused by contractions will diminish, signaling a potentially catastrophic injury if appropriate medical intervention is not taken in a timely fashion. 




If you are in a position where you may have to place a loved one in a nursing home for care, there are some things you can do. First, do your homework. There are a number of resources on the internet about nursing homes in Los Angeles County. One is the “Long Term Care County Data Book,” which you will find at http://www.caads.org/ltcdata/ltc_data.html. Visit several nursing homes and interview the staff. Ask for references. Talking to the family members of other residents will let you know how satisfied, or not, they are with the care at the facility. Finally, contact DHHS to find out whether the nursing home is in compliance with State and federal laws and whether they are aware of any serious complaints about the facility. 
Last July, a new law came into effect which prohibits talking on a cell phone while holding it. It is worth commenting on this new law because as I drive around the streets I still see people holding their cell phone and talking while driving. I suppose much like when the seatbelt law came into effect, it will take some time before people figure out that this law does have a purpose and it makes sense.
The first thing you must understand is that California is an “at-will” state. That is, absent a written contract stating otherwise, you have your job at the will of your employer. Your employer may fire you at any time. They may or may not have a reason for firing you. They do not need to have a reason. If they have a reason, almost any reason is fine.