Fibroid Removal During Pregnancy Leaves Patient Unstable

    Following a woman’s use of in vitro fertilization and a donated embryo to induce pregnancy, she experienced a uterine rupture when her placenta detached from the womb, requiring an emergent cesarean delivery. When she reached her third trimester, she complained of severe pain and cramping, with doctors noting that she appeared as if critically ill, hypotensive, and barely responsive. After extensive blood transfusions, the child was delivered and became lodged between the uterus and abdominal cavity with multiple other complications of uterine fibroids and a damaged Fallopian tube. She was assessed to need a myomectomy to remove her fibroids while still pregnant, and her surgeon planned on having a more experienced colleague present. However, the surgery records indicated that no other surgeon had been present at the time of the procedure, after which the infant was born with no evident breathing and was immediately intubated. At the time of the trial, the infant’s condition still unstable, and an expert in the usage of robotic performed myomectomies was asked to opine on causation.

    Question(s) For Expert Witness

    • 1. Are you familiar with the type of patient described in the case?
    • 2. Are you capable of reviewing the patient’s ultrasounds?

    Expert Witness Response E-007850

    I am a Maternal Fetal Medicine and Clinical Genetics expert, and am boarded in both. I have been practicing over twenty years in Maternal-Fetal Medicine. I am familiar with the type of patient described, as I do this daily. I am definitely available to review the ultrasounds; in my experience, the 20 week ultrasound should have picked up an abnormality suggesting absence of the corpus callosum.

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