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    Knowledge

    A guide to NHS birthing injury claims

    14:06, 31/5/2024

    Home » News & Knowledge » A guide to NHS birthing injury claims

    If you are a new mum and you or your child has suffered from injuries at an NHS hospital during labour, you may be entitled to claim compensation.

     

    Although birthing injuries can be a natural part of having a baby, if it was avoidable, it may have occurred as a result of negligence.

    Birthing injuries can harm both mothers and babies and can arise as a result of negligence during pregnancy or as a result of childbirth. However, every mother is entitled to a good standard of antenatal care, and health professionals should detect any signs which could lead to birthing injuries.

     

    NHS birthing injury claims

     

    The NHS has made headlines recently due to its poor level of maternity care. The Birth Trauma Inquiry has called for an overhaul of the UK’s maternity services after evidence suggested how thousands of women experienced a lack of care, kindness and preventable injuries during labour.

    Some women said they were denied basic needs such as pain relief, were left in blood-soaked sheets, and were not listened to when they raised concerns about their newborn child. Others said they suffered preventable birthing injuries, which has led to long-term suffering such as inconsistency and a lifetime of pain.

    We have broken down everything you need to know about birthing injuries and how to make a claim.

     

    What is a birth injury?

    A birth injury is an injury that has occurred during labour. Injuries can affect both the mother and baby and can be caused by negligent care from a health professional.

    Although some birth injuries are natural, some can be caused by medical negligence and NHS failures – and in these cases, you may be entitled to compensation.

     

    Birth injury causes

    We have rounded up a list of common causes of birthing injuries (however, this list is not exhaustive).

    • Failure to identify the progression of labour
    • Mismanagement of maternal conditions such as high blood pressure and pre-eclampsia
    • Decisions about the mode and timing of delivery e.g. should a c-section have been brought forward
    • Mismanagement of infection e.g. Group B Strep
    • Surgical errors
    • Retained Placenta, sometimes resulting in infection.
    • Improper use of equipment, such as forceps or vacuum extractor
    • Failure to monitor mother and baby after childbirth
    • Use of unnecessary force during childbirth

     

    Types of birth injuries

    Birth injuries can affect both mother and baby in different ways. We have rounded up some of the most common birth injuries we see – however this list is not exhaustive, and we may be able to help even if your injury is not on the list.

     

    Mother

     

    • Vaginal tears

    A lot of women experience vaginal tears during delivery and sometimes this is a natural consequence of childbirth, and they will heal quickly. However, in some cases, these tears are avoidable and can be serious.

    These tears can cause a prolonged recovery period and healing time, as well as causing long-term effects on the mother.

     

    • First degree tears

    These are skin-deep and only affect the outermost layer of skin around the vaginal and perineum, These are superficial and will heal on their own.

     

    • Second degree tears

    These are deeper tears, effecting the muscles of the vagina. Stitches are normally required to help the tear heal. These are usually painful and will recover within a few weeks. Your midwife will examine the tear time to time to ensure good healing

     

    • Third and fourth degree tears

    These are the most serious tears which are deeper, they affect the skin, tissue and muscles extending to the anal sphincter. These require careful surgical repair.

     

    • Uterine Prolapse

    A prolapse of the uterus happens when the uterus slips down into the vaginal canal. This is a result of a woman’s pelvic organs bulging into the vagina or pelvic floor muscles and ligaments have stretched and weakened during childbirth.

    A prolapse of the uterus is more likely in cases where women have endured a particularly long, traumatic or difficult labour. Women who have a larger baby are also at more risk of a uterus prolapse.

    Symptoms of a uterine prolapse include:

    • Urinary incontinence
    • Pain during sexual intercourse
    • A sensation of heaviness in the vaginal or pelvic area

    Those who have experienced a uterine prolapse may require invasive treatment depending on the severity, such as a hysterectomy, this involves the removal of the womb meaning a woman cannot have any more children. However, sometimes it requires the surgical repair of the pelvic floor muscles.

     

    Child

    Many types of birth injuries occur because a medical professional is negligent. The most common types of preventable birth injuries are:

     

    • Facial paralysis

    Facial paralysis can occur when there is too much pressure on the facial nerve in the baby’s face during delivery. This can lead to the baby suffering from a lack of movement on one side of the face, and if the nerve is torn, surgery might be needed.

     

    • Brachial Palsy (Erb’s Palsy)

    This is a type of birth injury which causes weakness or paralysis of the arm. Brachial palsy is usually caused by abnormal or difficult labour or delivery.

    This is usually caused if a doctor or medical professional fails to recognise that labour is going to be complicated. This injury can also occur if a doctor or midwife pulls too hard, causing damage to a baby’s shoulder nerves.

     

    • Cerebral Palsy

    Cerebral palsy is caused if there is a problem with the baby’s brain before, during or soon after birth. It can be caused during pregnancy if an infection such as chicken pox is caught, or by damage to the baby’s brain during or after birth.

    Although cerebral palsy is not usually by the actions of medical professionals, there are several ways in which the condition can be a result of clinical negligence.

    In some cases, a lack of oxygen to the brain can cause the condition if there are complications during birth. Meanwhile, if medical staff fail to notice the complications or fail to perform a caesarean promptly, their negligence could result in the child having cerebral palsy.

    In addition, if the mother has an infection during pregnancy and birth, and medical professionals fail to diagnose or treat the infection in time, the child may be at risk of cerebral palsy due to negligence.

     

    • C-section injuries

    A C-section is a surgical procedure usually carried out if the mother is suffering from certain conditions such as high blood pressure or diabetes if there are problems with the baby or a multiple pregnancies like triplets.

    The procedure is carried out by cutting the mother’s abdominal wall and uterus – and although in some cases C-sections are the safest option for mothers, they can cause injuries of their own.

    However, most C-section injuries are preventable so if you have suffered harm as a result of negligence, you may be entitled to compensation.

     

    C-section injury causes

    • Delayed C-section
    • Mistakes during surgery
    • Poor aftercare

     

    Types of C-section injury

    C-sections can cause injuries to both the mother and baby. Some injuries can be easy to treat and temporary. However, others can cause long-term damage and conditions.

    Here are some common injuries – however if you have suffered an injury which is not on the list, please get in touch.

     

    Mother

    • Adverse reaction to anaesthesia
    • Blood clots
    • Endometritis (infection of the uterine lining)
    • Surgical-site infection (SSI)
    • Postpartum haemorrhage
    • Surgical injury

    Baby

     

    Post-natal depression (PND) and post-traumatic stress disorder (PTSD)

    Birthing injuries to women can not only be physical but also affect them mentally. A negative or particularly stressful experience before, during or shortly after childbirth can have a negative impact on a women’s mental health and well-being.

    Experiences during birth affect everyone differently and are highly sensitive, common signs include:

    • Difficulty bonding with their baby
    • Difficulty with sleeping
    • A feeling of guilt and isolation
    • A feeling of exhaustion and hopelessness
    • The feeling of ‘failure’, and that the events of a baby’s birth were their own fault

    Many women will suffer silently and not seek help with PND and PTSD. However, it is a common effect of birth with 3 in 10 new mothers experiencing PND or PTSD. These are serious injuries and require the correct treatment.

     

    If you feel you have experienced any of the above, please contact the Clinical Negligence team at Oakwood Solicitors who will be able to advise in respect of a claim.

     

    How to make a claim?

    Medical negligence claims of this nature are subject to a three-year limitation period. This means that claims have to be commenced within the courts in three years of either the date the negligent act occurred or the date you became aware that negligence had occurred.

    In cases involving deceased victims, this limitation period commences from the date of death and in cases involving minors, the limitation period starts when they reach their 18th Birthday.

    The law surrounding limitation periods is complex, our specialist team will be able to advise further.

     

    Who can make a claim?

    The victim of the negligence can bring about a claim in their own right. However, it may sadly be the case that the victim is no longer able to bring about a claim or has passed. In such circumstances, a claim can be brought about by the executor of the estate or an authorised person.

    For further information about whether you are able to bring about a claim, please contact the medical negligence team who will be able to advise further.

     

    What do I need to prove to make a claim?

    For a successful medical negligence claim, it needs to be proven that:

    1. The healthcare provider had a duty or obligation to you.
    2. The healthcare provider fell short due to medical negligence.
    3. You were harmed as a direct result of the medical negligence.

     

    What evidence should I provide?

    Our medical negligence team will assist you in obtaining the evidence needed. However, the following can be useful to assist with your claim:

    • Medical notes
    • Diary entries of what occurred
    • Any communication from GPs or healthcare professionals
    • Witness statements
    • Proof of loss of earnings

     

    How long will my claim take?

    Given the complexities involved in pursuing Clinical Negligence claims, they can often take 12-18 months to conclude and longer if Court proceedings have to be issued.

    Our investigations start by obtaining all relevant records and protocols before approaching the Defendants in claims of this nature. Depending upon the injury suffered, independent medical experts may need to be consulted.

    We will provide you with regular updates on the progress of your case to ensure that you are kept up to speed.

     

    How much compensation will I get?

    For clinical negligence cases, we will pursue two forms of compensation for you:

    • Firstly we will pursue compensation known as general damages:

    This is an award of money for the pain and suffering you have endured as a result of the negligence.

    General damages will be awarded based on the severity and ongoing effects of the injury. The Judicial College guidelines will be used as a framework for how much you will be awarded.

    • Secondly, we will pursue compensation known as special damages:

    This is an award of money for all of your out-of-pocket expenses such as travel expenses, medication costs, loss of earnings, and treatment costs both past and future. This list is not exhaustive and is very case-specific.

     

    Why should I use Oakwood Solicitors Ltd?

    We have a dedicated team of solicitors and paralegals who have many years of experience between them in running cases of this nature. They are highly trained to deal with all aspects of clinical and medical negligence.

    Oakwood Solicitors Ltd wishes to ensure that clients are not overwhelmed by legal jargon or medical terms that they don’t understand and aims to allow the claims procedure to be as transparent as possible.

     

    Further reading

    The Birth Trauma Inquiry – Oakwood Solicitors

    Hospital negligence claims – Oakwood Solicitors

    Mother birthing injuries – Oakwood Solicitors

    Child birthing injuries – Oakwood Solicitors

     

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    Meet the author

    Jade Glover is a Solicitor in the Medical Negligence team. She has worked for the company for over 9 years and completed her training during that time. She has specialised in Personal Injury clai…

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