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CA: delay in cesarean results in stillborn: `bystander' dad has no emotional distress claim. (Medical Malpractice Cases).


CASE FACTS: Sharon Toliver was eight months pregnant when she awoke in the middle of the night with heavy vaginal bleeding. She was taken by ambulance to Memorial Hospital of Gardena at 3:53 a.m.. Richard Nash, the expectant father, followed the ambulance to the hospital. The patient was taken to the Labor and Delivery Unit. The patient was suffering from vaginal bleeding and abdominal cramping. She was connected to a fetal heart monitor. However, there was no fetal heart tone. The condition was considered to be a "dire emergency." Consequently, an on-call obstetrician obstetrician /ob·ste·tri·cian/ (ob?ste-trish´in) one who practices obstetrics.

ob·ste·tri·cian
n.
A physician who specializes in obstetrics.
, Dr. Ata Mehrtash, was contacted. Dr. Mehrtash did not leave for the hospital immediately. He was called four times before he left his home. During one of those calls, the expectant father pleaded with Dr. Mehrtash to come to the hospital because the expectant mother was bleeding and in pain, The nurse reminded Dr. Mehrtash to order pain medication for the patient during the third call. The fourth call was made at 4:30 a.m. by a nursing supervisor. The baby's father was in attendance throughout the delivery process but was not able to see the procedure itself because a screen and drapes were blocking his view. The expectant mother delivered a stillborn stillborn /still·born/ (-born) born dead.

still·born
adj.
Dead at birth.


stillborn,
n an infant who is born dead.


stillborn

born dead.
 at approximately 6:15 a.m. An autopsy concluded that the baby died from "acute intrauterine intrauterine /in·tra·uter·ine/ (-u´ter-in) within the uterus.

in·tra·u·ter·ine
adj.
Within the uterus.


Intrauterine
Situated or occuring in the uterus.
 asphyxia asphyxia (ăsfĭk`sēə), deficiency of oxygen and excess of carbon dioxide in the blood and body tissues. Asphyxia, often referred to as suffocation, usually results from an interruption of breathing due to mechanical blockage of the ." The baby's parents brought suit against Dr. Mehrtash. The complaint alleged a cause of action for wrongful death. The baby's father moved to amend th6 complaint to allege a claim for negligent infliction of emotional distress The tort of negligent infliction of emotional distress (NIED) is a controversial legal theory and is not accepted in many United States jurisdictions. The underlying concept is that one has a legal duty to use reasonable care to avoid causing emotional distress to another  (NIED NIED National Research Institute for Earth Science and Disaster Prevention (Japan)
NIED Negligent Infliction of Emotional Distress (legal)
NIED Nutritional and Inflammatory Evaluation in Dialysis Patients Study
) as a bystander. Dr. Mehrtash moved for a nonsuit A broad term for any of several ways to terminate a legal action without an actual determination of the controversy on the merits.

For instance, a judgment of nonsuit may be granted against a plaintiff who either fails to pursue, or abandons, the action.
 on Mr. Nash's amended claim for NIED. A jury returned a verdict in favor of the plaintiffs finding Dr. Mehrtash 80 percent responsible and the hospital 20 percent responsible for the plaintiffs' damages. After Dr. Mehrtash's motion for a new trial motion for a new trial n. a request made by the loser for the case to be tried again on the basis that there were significant legal errors in the way the trial was conducted and/or the jury or the judge sitting without a jury obviously came to an incorrect result.  was denied, he appealed.

COURT'S OPINION: The Court of Appeals of California, treating the judgment in favor of Mr. Nash only, reversed the judgment. The court held, inter alia, that Mr. Nash was not entitled to recovery on his NIED claim because he was not aware of any injury to the baby until "after" the injury producing event. "A plaintiff must be located near the scene of the accident, the shock must result from a direct emotional impact ... from the sensory and contemporaneous observance of the accident, the plaintiff and the victim must be closely related." The California Supreme Court has denied recovery to fathers of stillborns in similar settings because the fathers were not in a position to have contemporaneous observations. Nash v. Mehrtash, 2002 WL 31518158 P.2d--CA
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Author:Tammello, A. David
Publication:Medical Law's Regan Report
Geographic Code:1U9CA
Date:Nov 1, 2002
Words:443
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