FAQs

  • What is Hypoxic Ischemic Encephalopathy (HIE)?

    Hypoxic Ischemic Encephalopathy (HIE) is a brain injury caused by oxygen deprivation (hypoxia) and reduced blood flow (ischemia) to the brain, typically occurring around the time of birth. HIE can be caused by factors such as complications during childbirth, umbilical cord issues, placental abruption, maternal infections, fetal distress, or other conditions that restrict oxygen supply to the baby's brain.
  • What are the long term effects of birth injuries?

    Birth injuries can have lasting effects on a child's health and well-being, leading to various long-term consequences such as:

    • Physical Disabilities: Birth injuries like cerebral palsy, Erb's palsy, or brain damage can result in long-term physical disabilities that may affect mobility, coordination, and overall physical function.
    • Cognitive Impairments: Some birth injuries can impact cognitive development, leading to learning disabilities, developmental delays, or intellectual impairments that persist into adulthood.
    • Emotional and Behavioral Challenges: Children who experience birth injuries may face emotional and behavioral challenges such as anxiety, depression, attention deficit hyperactivity disorder (ADHD), or other mental health conditions.
    • Chronic Health Conditions: Certain birth injuries may predispose individuals to chronic health conditions like epilepsy, respiratory problems, vision or hearing impairments, and other ongoing medical issues.
    • Social Impact: Birth injuries can influence social interactions and relationships, potentially leading to feelings of isolation, difficulties forming connections, or challenges in social integration.
    • Educational Needs: Children with birth injuries may require specialized educational support, individualized learning plans, or assistive technologies to accommodate their unique needs and facilitate academic progress.
    • Financial Burden: The long-term effects of birth injuries can impose a significant financial burden on families due to healthcare expenses, therapy costs, assistive devices, and ongoing care requirements.

    Understanding the potential long-term effects of birth injuries is essential for parents, caregivers, and healthcare providers to ensure early intervention, appropriate treatment, and necessary support to help children thrive despite the challenges they may face. If you suspect that your child has suffered a birth injury, seeking medical evaluation and legal guidance promptly can help address the long-term implications effectively.

  • Who can be sued for a birth injury caused by medical negligence?

    In cases of birth injury resulting from medical negligence in Ontario, various entities may face legal action, including:

    • Healthcare Providers: This category encompasses obstetricians, midwives, nurses, and other healthcare professionals directly engaged in prenatal care, labor, or delivery services.
    • Hospitals or Medical Facilities: The institution where the birth injury occurred could be deemed liable, particularly if their policies, practices, or inadequate equipment contributed to the negligent circumstances.
    • Medical Staff: Individual healthcare workers whose actions or oversights led to the birth injury can be held accountable.
    • Pharmaceutical Companies: If medication or medical devices played a role in the birth injury due to defects or improper use, pharmaceutical companies might be implicated in the legal proceedings.
    • Third Parties: External entities such as medical equipment manufacturers, maintenance contractors, or other involved parties in the birthing process that contributed to the negligence leading to the birth injury.

    To ascertain responsibility in cases of birth injury caused by medical negligence, a comprehensive investigation, legal acumen, and collaboration with medical experts are essential. If you suspect that your child has suffered a birth injury due to medical negligence, seeking guidance from a specialized birth injury lawyer in Ontario is recommended. They can assess your situation, identify the responsible parties, and assist you in navigating the legal process to pursue rightful compensation

  • Why should I hire an Ontario birth injury lawyer?

    Hiring a birth injury lawyer in Ontario can be crucial for several reasons:

    • Legal Expertise: Birth injury cases can be complex, and an experienced lawyer specializing in this area understands the laws and regulations specific to birth injuries.
    • Maximizing Compensation: A skilled lawyer can help you seek the maximum compensation you deserve for medical expenses, ongoing care, pain and suffering, and other damages.
    • Investigation and Evidence Gathering: A lawyer can conduct a thorough investigation, gather evidence, and consult with medical experts to strengthen your case.
    • Navigating the Legal Process: The legal process  can be overwhelming, but a lawyer will guide you through each step, ensuring your rights are protected.
    • Peace of Mind: By entrusting your case to a knowledgeable lawyer, you can focus on your family while knowing that your legal matters are in capable hands.
  • What is the deadline for filing a birth injury claim?

    In Ontario, there are limitations on how long you have to file a birth injury lawsuit, known as the statute of limitations. It's crucial to consult with a lawyer promptly to understand your legal options and ensure timely action is taken to protect your rights.

    For personalized guidance on your specific situation, we recommend reaching out to a reputable birth injury lawyer in Ontario for a consultation.

  • What type of cases do birth injury lawyers take on?

    Birth injury lawyers in Ontario handle a wide range of cases, including but not limited to:

  • What is a birth injury lawyer?

    A birth injury lawyer is a legal professional who specializes in cases where an infant has been injured during the birthing process due to medical negligence or malpractice. These lawyers have a deep understanding of the complex medical and legal issues involved in birth injury cases and work to help families receive compensation for the physical and emotional damages suffered. Birth injury lawyers can assist with cases involving various types of birth injuries.

    If you're considering a medical negligence lawsuit following a birth injury, a specialized lawyer in this field can provide meaningful advice and direction after reviewing the medical records and the specifics of the case.

  • When is it not appropriate to use forceps or vacuum extraction?

    Forceps and vacuum extractions are not recommended: for women less than 34 weeks pregnant; when the baby has a condition affecting bone strength; when the position of the baby’s head is not known; when the head had not reached and passed the midpoint of the birth canal; when the baby’s arms, feet, shoulders or buttocks are leading the way down the birth canal.
  • If forceps and vacuums are used during birth, is it usually a sign of medical malpractice?

    No. These instruments can and often are used safely to assist wth difficult vaginal births. However, if your child sustained a birth injury and these devices were used, it is important to investigate to determine if improper use caused the injury.
  • What are forceps and vacuums?

    Forceps and vacuums are types of medical instruments used during assisted vaginal deliveries. Shaped like a pair of long tongs or spoons, forceps are slid on either side of the baby’s head to help guide it out of the birth canal. In a vacuum extraction, a properly sized rigid or soft cup attached to a handle is placed on the baby’s head and attached using suction.
  • What are some symptoms of periventricular leukomalacian (PVL)?

    Depending on the severity and location of the brain damage, a child may have no symptoms or experience significant disability. Symptoms often become more apparent over time and tend to be pronounced by six to nine months of age. They may include: spastic diplegia, cerebral palsy, developmental delays (mental and physical), poor coordination, vision problems and difficulty with eye movement, hearing loss, cognitive impairment and learning disabilities, developmental delay (mental and physical), scoliosis, seizures, urinary incontinence.
  • How is periventricular leukomalacia (PVL) diagnosed?

    Symptoms of PVL are frequently associated with other conditions and disorders. Therefore, a physical exam in itself may be the first step in a diagnosis, but confirmation usually comes from either a cranial ultrasound or magnetic resonance imaging (MRI).
  • What is periventricular leukomalacia (PVL)?

    PVL is a condition where damage to cells or cell death causes a softening of white brain tissue near the ventricles (fluid-filled chambers in the brain). It is believed that PVL is caused if the brain receives too little blood and/or oxygen.
  • What are some common injuries from obstetrical errors?

    Obstetrical errors can harm a pregnant woman, her fetus, or her baby. Common injuries for pregnant women include perineal injury (blood loss, skin, tissue and muscle damage, injury to the vaginal mucosa or anal sphincter), pelvic floor injury (muscle and nerve damage, prolapsed organs), postpartum infection, and spinal injuries from epidurals. A fetus may suffer from lack of oxygen, fetal distress, fetal infection, and placental abruption. Newborns may experience trauma from forceps and vacuums, lack of oxygen, untreated infection, improper resuscitation, and kernicterus.
  • When is obstetrical error medical malpractice?

    Monitoring the health of a patient/patients during a pregnancy, delivery and the first few weeks after birth requires certain knowledge, skill and experience. Although no medical provider is held to the standard of perfection, if their negligent actions or inaction breach standards of obstetrical care and cause injury or harm, it may be considered obstetrical error medical malpractice. In these cases, the medical provider may be liable for compensating a patient for the damage they caused.
  • What are some common obstetrical errors?

    Some common obstetrical errors include: misdiagnosis, surgical errors, medication errors, and postpartum birth injuries. The most common reasons for these errors tend to be errors in clinical judgement, miscommunication, technical issues, and inadequate supervision.
  • How does Gluckstein establish negligence in a newborn infection medical malpractice case?

    For a newborn infection medical malpractice claim to be successful, a personal injury lawyer must establish that standards of care have been breached, that the breach directly caused serious harm to a person, and that another person's negligent action or inaction caused this harm. To establish negligence, we conduct a preliminary investigation into a client's medical files to determine when and how the infection started, how long it took to identify it, and how it was treated once identified. We also consult medical experts who can provide an opinion about whether it is reasonable to think a doctor with a similar level of experience under similar circumstances would have made the same choices based on protocols in place.
  • When is a newborn infection medical malpractice?

    When an infection is not treated in a proper manner, or if a newborn acquires an infection that ought to have been preventable, it could mean standards of care have been breached due to a medical provider's negligence. This is called newborn infection medical malpractice.
  • What are some common newborn infections?

    An infection can begin in utero (during pregnancy), at birth (during delivery) or after birth (in the first few days and weeks). Common maternal infections that affect the fetus/newborn include: toxoplasmosis, syphilis, rubella, cytomegalovirus, zika, HIV, Hepatitis B. Common infections a baby may be exposed to at birth include: streptococcal bacteria, gonococcal bacteria, chlamydia, escherichia coli (E. coli), listeriosis (Listeria monocytogenes), herpes simplex, HIV Hepatitis B. Some common postpartum infections include: bacterial meningitis, sepsis, conjunctivitis, pneumonia.
  • How does Gluckstein establish negligence in resuscitation of a newborn medical malpractice case?

    Once establishing the kind(s) of birth injury a client has sustained, Gluckstein conducts a preliminary investigation into the role one or more medical providers may have played by examining the baby's and mother's medical records. If there is any indication that standards of care have been breached, we consult with experts in the field to determine the likelihood the breach caused the injury and whether a medical provider's careless or reckless actions or inaction caused this breach.
  • When is a resuscitation of a new born medical malpractice?

    If there have been signs of fetal distress, if a baby is not breathing or crying normally, or if it does not have a healthy colour or skin tone, a medical provider would likely determine that something beyond routine after-birth care is needed to assist the baby. If the baby’s heart rate is less than 100 beats per minute, some level of resuscitation effort is likely needed. More significant interventions are required if the baby’s heart rate falls below 60 bpm. If the standard of care to provide resuscitation in these scenarios are breached without extenuating circumstances, the medical provider's negligence may cause or contribute to a baby's injuries. This is called medical malpractice.
  • What is the resuscitation of a newborn?

    Newborns may require some level of intervention to help them with their breathing or to help them start breathing. Up to one in 10 babies born require simple stimulation (drying and rubbing) to help them breath. Three to six percent of newborns require basic resuscitation (bag-and-mask ventilation). Less than one percent need more serious interventions, including: endotracheal intubation, chest compressions and/or medication.
  • How do you establish negligence in a jaundice medical malpractice case?

    If your baby has suffered a serious injury from uncontrolled jaundice and you believe it to be the result of medical malpractice, our team will conduct a preliminary investigation of the baby's medical records to determine the context of the injury. Then, in consultation with our extensive network of medical and non-medical experts, we will build a case that demonstrates a medical provider's negligence led to a breach of the standard of care that caused the baby's injury.
  • When is jaundice medical malpractice?

    Jaundice is a common condition in newborns. Often it will resolve on its own or with minimal intervention from medical providers. In more serious cases phototherapy or transfusions are used to reduce bilirubin levels. If a medical provider fails to identify, monitor and effectively treat jaundice, it can cause serious injury or death. Medical malpractice occurs when the standards of care are breached by a medical provider due to negligence and a patient suffers harm.
  • What is the birth injury kernicterus (brain injury) from hyperbilirubinemia - jaundice?

    As a body breaks down old red blood cells, it creates a yellow pigment called bilirubin that is processed by the liver prior to excretion. Some newborns have underdeveloped livers that cannot process this waste efficiently. If there is a delay or disruption in this process, bilirubin that builds up in the body may begin to collect in brain tissue and cause serious and permanent brain damage (bilirubin encephalopathy).
  • How do you establish negligence in a birth injury case?

    The law provides doctors and other healthcare professionals with some leniency in making difficult decisions. For example, the best option for a patient’s care is not always clear. For that reason, doctors must adhere to a medically accepted standard of care that is reasonably expected of all healthcare professionals. This prevents legal claims in cases where a physician acted reasonably to diagnose or treat an illness or injury to the best of their ability.

    Unfortunately, not all doctors meet this standard of care, and those who do not could face civil liability for damages caused to patients. To prevail in a medical negligence claim, an injured or sick patient must prove that their physician’s or surgeon’s failure to meet the standard of care directly caused their medical injuries.

  • How do birth injuries occur?

    Many preventable birth injuries are the result of a doctor, nurse, staff member, or other healthcare provider’s careless or reckless behaviour. The extent of the negligence involved is a significant factor in the severity of a child’s birth injury.

    Failure to adequately monitor a mother for signs of complications, improper use of forceps or other delivery tools, errors made while delivering the child, and failure to recognize signs of fetal distress can all lead to severe birth injuries. Oxygen deprivation to the child, inadequate delivery room protocols and procedures, and delayed diagnosis of infections also commonly form the basis of successful birth injury claims

  • What causes seizures right after birth?

    The underlying causes of neonatal seizures vary. They include:

    • Lack of oxygen before or during birth;
    • Infection acquired before or after birth;
    • Stroke before or after birth;
    • Blood clot or bleeding in the brain;
    • Birth defects;
    • Chemical imbalances;
    • Metabolic disorders;
    • Drug withdrawal.

    About half of babies who experience seizures after birth will develop epilepsy later in life.

  • Can birth trauma cause seizures?

    Yes. Brain injury from birth trauma can cause a variety of types of seizures. However, it is important to note that seizures and seizure disorders are different. Many babies who experience seizures in the first weeks after birth will stop seizing after a period. In other cases, conditions such as epilepsy can be permanent.
  • Do babies recover from Meconium Aspiration?

    Yes, many cases fully resolve with prompt treatment. If treatment is not successful or if it is initiated too late, a baby may sustain permanent injury.
  • Which are major complications of Meconium Aspiration Syndrome in the newborn?

    Persistent chemical irritation of airways by meconium creates inflammation in the lungs that may cause long-term respiratory problems, including:

    • Severe asthma-like symptoms;
    • Hindered growth;
    • Being prone to viral or bacterial pneumonia.

    Oxygen deprivation from meconium aspiration can also lead to brain injury which can cause:

    • Seizures;
    • Hypoxic-ischemic encephalopathy;
    • Cerebral palsy;
    • Strokes.
  • Can Meconium Aspiration cause long term effects?

    Unfortunately, if it is not treated early, meconium aspiration can lead to permanent injury, including conditions such as cerebral palsy.
  • Can you fully recover from Erb's Palsy?

    Yes! Between 80 to 96 percent of children with Erb's Palsy make a complete recovery. If improvement begins within the first two weeks post-birth the prognosis is especially good.
  • Can Erb's Palsy occur after birth?

    While the vast majority of cases of Erb's Palsy occur at or around birth, the condition can onset at any age if the brachial plexus nerves are stretched or damaged.

    Some post-birth causes include:

    • Contact sports;
    • Trauma from motor vehicle accidents;
    • Violence including bullet wounds, falls, and tumours.
  • What are three early signs of Cerebral Palsy?

    Three possible indications of cerebral palsy are

    1. Developmental delays;
    2. Abnormal muscle tone; and
    3. Abnormal posture.
  • Can birth complications cause Cerebral Palsy?

    While most cases of cerebral palsy relate to injuries sustained in the womb, about one in five cases occur due to difficult deliveries. Lack of oxygen during birth is believed to be the cause of most of these injuries.
  • What is the recommended treatment for a brachial plexus injury?

    Mild cases may not require treatment while less severe cases may require daily physical therapy by parents. For more serious injuries, a baby's treatment will likely include neurology, neurosurgery occupational therapy, orthopedic surgery, physical therapy and rehabilitation.
  • How does brachial plexus injury occur during birth?

    Brachial plexus injuries occur when a baby's neck is stretched during delivery. It more frequently occurs if the birth is complicated by a breech (bottom-first) delivery, the mother has a very long labor, the baby's shoulders are too wide to fit through the birth canal, or medical extraction equipment such as vacuums or forceps are used.
  • What should I do if my child has been injured?

    Seek medical attention immediately. If possible, take photos of the scene of the accident, collect contact information of witnesses, and record your own observations or what your child can tell you about what happened. Speak to a pediatric injury lawyer as soon as possible to ensure your rights and your child's rights are protected.

  • What will legal action cost? What will I have to pay?

    Generally, there are no costs to our clients throughout the course of litigation. Our firm carries the cost of litigation and any disbursements. When your matter is resolved either through settlement or at trial, our firm will take a portion of the settlement for our fees and disbursements. Our lawyers will explain the retainer and fee arrangements clearly at the initial consultation. We believe that you should not need to be independently wealthy to access justice for harm caused to you.

  • How will I find out what happened to my child that caused a birth injury?

    Our lawyers will use a combination of resources to determine what happened in the context of a birth or perinatal injury.

    We will start the investigative process by obtaining the medical records and by gathering information from our clients.

    We will then seek out the most appropriate medical and non-medical experts to interpret and provide opinions and expertise as to whether there was a breach of the standard of care, whether that breach caused or contributed to the injuries, and the extent of the injuries suffered.

    Throughout the litigation process, we will receive further evidence as to what happened through the exchange of documents between parties and through the Examination for Discovery process.

  • How long do I have to file a lawsuit if I suspect my child has sustained a birth injury or perinatal injury?

    Typically, in Ontario, you have two years from the day which the injury occurred, the day you discovered that the injury had occurred, or the date you ought to have reasonably known about the injury to bring a lawsuit for a personal injury claim. In the case of a birth or perinatal injury, the limitation period does not start until the child reaches the age of majority, which in Ontario is 18 years old. The limitation period can be delayed even further if, when the child reaches the age of majority, he or she remains legally “incapable” of commencing litigation because of a physical, mental, or psychological condition. In this case, the limitation period does not begin to run until a Litigation Guardian is appointed for the purposes of the lawsuit.

    It is best to contact a lawyer early to ensure that proper steps are taken and that deadlines are not missed. You do not have to retain a lawyer right away, but it can be helpful to learn about your legal rights early.

  • What do our birth trauma lawyers do?

    If you believe your child or grandchild has suffered a preventable birth injury we can help make that determination. We start by meeting with you to get the facts. We then obtain all the relevant medical records and perform a detailed and comprehensive review. Where indicated, we will consult with highly qualified, respected and independent doctors to get the answers you need and deserve.

  • What are birth injuries?

    A birth injury is harm caused to a fetus or newborn baby during pregnancy, labour, delivery or in the period shortly after birth. Most birth injuries are related to a disruption in blood flow to the fetal brain, although other forms of trauma also occur at or around the time of birth. If severe enough, the impaired flow of oxygen can cause permanent injury resulting in a diagnosis of Cerebral Palsy.

    Unfortunately, Cerebral Palsy is a permanent injury to the brain that often results in severe motor dysfunction, cognitive impairment and developmental delays. It can also affect vision and hearing and can often cause seizures. Cerebral Palsy resulting from birth trauma will have a dramatic impact on many aspects of a person's life. They will have need for care, therapies and/or surgical interventions, often for life.

    Other common birth injuries include:

    • Shoulder dystocia;
    • Fetal and neonatal stroke;
    • Kernicterus;
    • Meconium aspiration syndrome;
    • Negligent resuscitation of a newborn;
    • Trauma from extraction tools.