Infant Hematoma

Infant hematoma happens when blood collects in the area between the outer and the middle layers of the brain covering. It is usually a result of bleeding in the dura caused by a blow to the head, and the seriousness of the condition depends on the size of the hematoma. Hematomas are categorized as a subdural hematoma, where blood collects inside the skull, or cephalohematoma, when blood collects under the scalp.

There is a possibility that the brain trauma could have been sustained during the birth process. In spite of the sophistication of modern medical procedures, unexpected circumstances can arise during the birth process and errors can be made. Difficulties can occur when the baby is not passing through the mother’s birth canal normally and doctor intervention becomes necessary. Physicians are sometimes required to use specific tools to adjust an infant’s birth journey. For example, infants who have turned sideways in the birth canal, might have to be turned around before birth delivery can proceed.

These types of difficult birth deliveries frequently involve the use of forceps, or vacuum extraction devices. Vacuum extraction is cup-like device that is placed on the infant’s head and used to physically pull the infant from the womb. They can be made of plastic or metal and due to the fragile nature of the infant’s head, the procedure can cause a serious injury. Hematoma is caused by excessive force used during direct handling or forceps or vacuum extraction. When infant hematoma occurs, it requires a timely diagnosis and quick intervention in order to prevent permanent damage. Signs of infant hematoma include head swelling, high respiration rate, convulsions, coma, and increased intracranial pressure.

Contact an Infant Hematoma Injury Lawyer
Medical malpractice that causes hematoma or other birth injuries is unacceptable. A labor and delivery doctor or other medical professional may be held financially responsible for causing a hematoma, failing to diagnose fetal distress that caused the hematoma, or failing to properly treat this injury.

If your infant sustained a hematoma injury because a medical professional made a mistake, you may choose to file a birth injury lawsuit. If you decide to pursue this path, you will need an experienced birth injury attorney to guide you through the legal process to ensure every step is completed with accuracy and precision. After your child has sustained a devasating birth injury, they deserve sufficient financial resources to adequately prepare them for their future.

The experienced birth injury lawyers at the Law Offices of Dr. Bruce G. Fagel and Associates knows the implications associated with birth and delivery, especially those that involve infant hematoma. Dr. Fagel can assist you in finding out whether the circumstances that caused your infant’s birth injuries were the result of a medical mistake. He has the knowledge and resources to research your claim to find out whether medical malpractice occurred.


Kernicterus is a rare type of brain damage that occurs in a newborn with severe jaundice (yellowing). It happens when a substance in the blood, bilirubin, builds up to very high levels and spreads into the brain tissues. This causes permanent brain damage. Kernicterus may be prevented by treating jaundice early before it gets severe.

A low-level buildup of bilirubin is normal. This is called mild jaundice, and it gives a newborn a slightly yellowish tint to the skin and sometimes the eyes.

After birth, it takes a few days for the newborn’s liver to effectively remove bilirubin from the blood. With feedings every two to three hours, mild jaundice will usually go away on its own after a few days. If a baby has any signs of jaundice at birth, he or she needs to be watched closely.

Kernicterus has likely already started if a baby has one or more of these symptoms: extreme sleepiness and lethargy; does not respond to touching or does not startle from sudden movements; an abnormal high-pitched cry; poor muscle tone, including unusual muscle flexing; seizures; and a fever.

Long-term damages from kernicterus include: movement difficulties, hearing loss or deafness, learning problems, developmental disabilities, and problems moving eyes.

Your doctor diagnoses kernicterus through a physical exam and knowledge of a child’s history. Blood tests to measure bilirubin levels are also done. So, the question is, can kernicterus be prevented? Yes, with proper testing and treatment.

If a baby is still in the hospital and has signs of jaundice, the doctor will perform a blood test measuring the bilirubin level. High levels require treatment, either by phototherapy or blood transfusion. Also, babies should be fed at least every one to three hours during the first couple of weeks of their life as this helps keep bilirubin moving out of the body through urine and stool.

Quick treatment may help prevent further brain damage. Long-term treatment for brain damage depends on a child’s specific problems. Typical treatment includes physical therapy, speech therapy and special education.

Kernicterus can have life-long consequences to a baby and the family. This calls for an immediate and careful investigation of the entire labor and delivery process to determine whether this injury could have been prevented. Often, evidence in the medical records shows significant problems and gives clear proof that the unfortunate outcome could have been prevented with responsible medical care.

California Medical Malpractice Lawyer

During pregnancy, many women trust the lives of their unborn children into the hands of doctors and physicians. However, when the trust is broken due to a complication or injury during childbirth, justice must be sought. At the Law Offices of Dr. Bruce G. Fagel & Associates, the team handles only medical malpractice cases. If your newborn child has been injured and you suspect medical malpractice, immediately contact California medical malpractice attorney Dr. Bruce Fagel from the firm today.

With extensive experience as a medical doctor and a medical malpractice lawyer, Dr. Bruce G. Fagel has obtained countless verdicts on behalf of his clients. Despite the injury or illness your baby has sustained, the firm is ready to investigate and determine the cause. The firm works with virtually all birth injury cases, including those relating to brain injuries, cerebral palsy, developmental delays, Erb’s palsy, mental retardation, Pitocin, premature delivery and wrongful death. Call today to speak with Dr. Bruce Fagel and to determine the best strategy to move forward with your case.

Experienced Birth Injury Attorney Helping Clients with Medical Malpractice Lawsuits
Choosing an experienced medical malpractice attorney with a strong medical background is critical to obtaining the maximum settlement for your case. By choosing an attorney that meets these high standards, you will have the most competent and aggressive advocate on your side. As a law firm that has recovered over $1 billion in verdicts and settlements on behalf of clients, you will feel more comfortable when working in the care of experienced birth injury lawyer Dr. Bruce Fagel.

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California Mental Retardation Attorney

Mental retardation is the medical term referring to an individual whose brain operates below the normal standard, characterized by mild, moderate or severe impairment to cognitive brain function. Mental retardation may exist due to a genetic disorder or naturally occurring complications in the development of a child’s brain. However, serious birth injury or brain injury during delivery can also cause mental retardation.

Dr. Bruce G. Fagel is an experienced medical malpractice lawyer who is dedicated to helping parents whose child has suffered birth injuries due to negligence on the part of an obstetrician, doctor, nurse or medical facility. Mental retardation may mean that your child will require constant care and attention for the rest of his or her life. It may also mean that your child will be unable to lead a normal life, as you would hope for and expect if medical care had been appropriately provided when necessary.

By reviewing medical records and conducting a careful investigation of all circumstances involving the childbirth and the medical treatment that the mother and baby received, medical malpractice attorney Dr. Fagel can determine whether medical negligence was to blame.

Mental Retardation and Children
Mental retardation may cause a number of developmental delays in a child. A child may take longer learning how to sit up, crawl and walk. He or she may learn to talk later than a child with normal cognitive abilities would. Some characteristics associated with mental retardation include the following:

Memory problems
Difficulty learning social skills and rules
Difficulty solving problems
Delays in language development
Lack of social inhibitors
Delays in developing self-care skills
California Medical Malpractice Lawyer
If your child suffers from mental retardation and you suspect this may have occurred due to medical malpractice, you have the right to seek help from a skilled lawyer. By consulting California birth injury lawyer Dr. Bruce Fagel immediately, you can find out what your options are and what choice is right for your child’s future. Dr. Fagel can review your birth injury case to determine if a medical malpractice lawsuit is warranted.

California Microcephaly Attorney

Has your child been diagnosed with microcephaly? This serious disorder may occur due to birth injury as a result of medical malpractice. California birth injuries attorney Dr. Bruce G. Fagel can help by offering you a free consultation to discuss this matter and determine what legal assistance he can provide in bringing the responsible party to justice for their actions through a medical malpractice lawsuit.

Microcephaly is a neurodevelopmental disorder (an impairment of growth and development of the brain or central nervous system) that involves an individual with a head circumference a certain degree smaller than the standard for his or her age and gender. Depending upon the specific case, a person with microcephaly has a reduced life expectancy and cannot achieve normal brain function.

Developmental delays are expected for a child with microcephaly. Additional symptoms and associated conditions may include: mental retardation, seizures, impaired intellectual development, impaired motor function, hyperactivity, and an underweight, dwarfed body. At this time, there is no cure for microcephaly and treatment is of a supportive nature and will vary depending upon specific symptoms.

Microcephaly and Medical Malpractice
While microcephaly may be related to a maternal problem such as alcoholism or diabetes, it may also be genetic or may develop due to birth injuries a child sustains at the beginning of his or her life. When an infant suffers a serious brain injury during or after birth, it is possible that this may lead to microcephaly. The brain will not grow or will only grow slightly and the infant’s head will remain the same size while his or her body and face continue to grow.

California Birth Injury Attorney
A skilled medical malpractice lawyer should review your particular case if you suspect that medical malpractice led to your child’s diagnosis of microcephaly. By reviewing your medical records and all aspects of your case, an experienced birth injury attorney can determine whether you have a claim that you can bring against the medical professional or medical facility responsible for your child’s injury.

California Premature Delivery Attorney

Premature delivery is the single leading cause of death in newborns. If you lost a child due to premature delivery or if your child was born prematurely and suffered a serious birth injury, California medical malpractice attorney Dr. Bruce G. Fagel can help.

A pregnancy is considered to reach full term after 9 months have passed (approximately 38 weeks). A delivery approximately 6½ months into term, or ranging from 26 weeks to 36 weeks of pregnancy, is considered to be a premature delivery. Because the baby is not fully developed at this time, there is an increased risk of lung or brain injury. These risks can be addressed when a mother goes into early labor through the use of steroid injections, which will speed up the development of the brain and lungs. Following a premature delivery, the baby will be placed in the Neonatal Intensive Care Unit (NICU) to receive special treatment.

Did Medical Malpractice Lead to Birth Injury?
Contact California birth injury lawyer Dr. Bruce G. Fagel immediately if your child was born prematurely and sustained injury as a result. Careful review of all medical records regarding childbirth and the care of your baby after birth is required in order to determine whether medical malpractice led to birth injuries that your child suffered. Perhaps the obstetrician failed to recognize signs of early labor, failed to provide steroid treatment in time or was negligent in the care of your child following delivery. Whatever the particular cause, having a medical malpractice lawyer on your side can help ensure that the responsible party is held liable for their actions through a medical malpractice case.

Premature Delivery Attorney Serving California Patients
With 10 years of experience in emergency medicine and a California medical license, Dr. Fagel is a medical malpractice attorney who is uniquely qualified to address your legal matter. With his assistance, you may be able to receive monetary compensation for medical expenses, future medical treatment, lost wages, pain and suffering and more.


Pitocin is the synthetic form of oxytocin, a natural hormone produced by a woman’s body that causes uterine contractions. It is generally used in two ways: to start or induce labor, and/or to augment labor. It has become a very controversial topic in childbearing today. Critics complain that it is used too frequently, even when its usefulness and safety are still uncertain.

Oxytocin is secreted in bursts. When a woman is given pitocin, it is administered through an intravenous line, which regulates the amount to a steady flow. Pitocin-induced contractions differ from natural contractions in strength and effect. This induced contraction may decrease uterine blood flow, which could reduce oxygen to the baby. Birth injuries such as brain damage and cerebral palsy could occur.

Pitocin can present other hazards to both the mother and the child. For the mother, dangers include tumultuous labor and contractions that may cause premature separation of the placenta, rupture of the uterus, laceration of the cervix or post-birth hemorrhage. Threats to the baby include fetal asphyxia and neonatal hypoxia from too frequent and prolonged uterine contractions, physical injury and prematurity.

A large percentage of women–nearly 80%–who received pitocin say that there is more pain with pitocin than without. There is no slow build-up of contractions with pitocin. And very few women–less than 10%–believe the pitocin helped with the delivery.

When inducing labor with pitocin, it works best when the uterus is ready to receive it, which is at term. When it is used prior to that, it is likely to produce a long, drawn-out or unsuccessful labor.

Because every woman responds differently to pitocin, the dose must be carefully monitored and adjusted. Too mild or infrequent contractions won’t bring the baby. Too strong or prolonged contractions can stress the baby.

Women have different views on pitocin. Some find it wasn’t a problem at all, while others intensely dislike it because of the potential harm it can cause. The most recent research shows how dangerous pitocin can be. The artificially produced contractions can cause too much stimulation, which can result in a decrease of oxygen to the baby and potentially causing a serious birth injury.

If your child has brain damage or cerebral palsy, it could be the result of induced labor using pitocin and the improper monitoring of fetal monitor records. That could be medical malpractice or negligence. The Law Offices of Dr. Bruce G. Fagel and Associates have a track record of success in pursuing birth injury cases through a malpractice or negligence lawsuit.

California Wrongful Death Lawyer

One of the most devastating experiences that a family can undergo involves medical malpractice leading to a death during childbirth. The loss of a child during a time that is supposed to be one of the most wonderful moments of your life will leave a parent in severe emotional distress. Monumental frustration and despair in knowing that this would not have occurred if the medical professional had provided a standard level of care is just the beginning of the feelings that family members may have.

California birth injury lawyer Dr. Bruce G. Fagel is passionate about helping families that have experienced the loss of a child due to birth injuries. By using his particular experience in the medical field along with his knowledge and experience as a medical malpractice attorney, Dr. Fagel is able to provide effective representation in the cases he pursues. Having a reputation as a hard-hitting and knowledgeable medical malpractice attorney makes defense attorneys and insurance companies eager to settle out of court rather than face litigation against Dr. Fagel in civil court, helping to ensure that your wrongful death claim is resolved more efficiently and to your satisfaction.

Click here to watch a brief introductory video regarding wrongful death lawsuits, featuring Dr. Bruce Fagel.

California Malpractice & Wrongful Death Attorney
You need immediate legal representation from a wrongful death attorney if you have lost a loved one due to birth injuries resulting from medical malpractice. Your attorney can handle your lawsuit and allow you to focus on healing and being with family and friends.

As a victim of birth injury, you have the right to take legal action against the obstetrician, doctor, nurse or hospital responsible for your loss. That person or facility should be brought to justice for their negligence or wrongful conduct, and a wrongful death lawyer can achieve this for you.

Defending the Victims of Birth Injuries

When you are dealing with a birth injury case involving medical malpractice, you simply cannot afford to work with a general attorney. While these lawyers usually have the best of intentions, they are simply not equipped to handle the unique nuances and complex details that are associated with a medical malpractice case. You need an attorney that focuses specifically on medical malpractice birth injury cases; a lawyer who will bring a wealth of knowledge and an intimate understanding of the law. Dr. Bruce G. Fagel is a medical malpractice attorney who will be able to bring you this level of legal assistance.

Dr. Fagel is unique in that he is both a licensed medical doctor and a medical malpractice lawyer. By pairing this unique mixture of medical understanding and legal know-how, he has proven himself to be a worthy advocate in medical malpractice cases throughout California. In fact, he has settled more cases of this nature than any other lawyer in the state. In addition, Dr. Fagel has been successful in securing over $1 billion in verdicts and settlements. Can you afford to work with a lawyer that has less experience?

Experienced Medical Malpractice for Your Birth Injury Case
If your child has recently suffered from a birth injury, such as a brain injury or even a wrongful death, you deserve to be helped with comprehensive and dynamic legal assistance from a caring California birth injury attorney. Dr. Fagel has extensive experience in handling cases of this nature and is fully prepared to help clients deal with cases including those pertaining to the following:

  • Cerebral Palsy
  • Brachial Plexus Injury
  • Microcephaly
  • Developmental Delays
  • Erb’s Palsy
  • Premature Delivery
  • Mental Retardation

With decades of experience and a track record of success, you can be confident knowing that your case will be in capable and trustworthy hands when you work with Dr. Bruce Fagel. He is intimately knowledgeable with the type of case you will be facing and is prepared to help you with sophisticated and professional representation.

When you work with the Law Offices of Dr. Bruce G. Fagel & Associates, you will be confident knowing an advocate on your side is dedicated to giving you the care necessary to win your case. Dr. Bruce Fagel recognizes the delicate nature of birth injury cases and is prepared to help you seek out your optimum outcome in every way possible.


Birth asphyxia occurs when an infant does not receive an adequate supply of oxygen before, during, or immediately following birth. Without oxygen, cells cannot work properly. Acids build up in the cells and may cause temporary or permanent damage to the infant. The amount of harm caused to the infant depends on how long and how severe the period of asphyxia, and how quickly the proper treatment is administered. Some causes of birth asphyxia may include:

Insufficient oxygen in the mother’s blood before or during child birth
Problems with the placenta separating from the uterus too soon
Infant’s blood cells cannot carry enough oxygen, known as anemia
Problems with the umbilical cord during delivery
High or low blood pressure in the mother
Serious infection in the mother or infant
Infant’s airway is not properly formed
Infant’s airway is blocked
Very long or difficult child birth process
Birth asphyxia injuries may occur in two stages. The first stage occurs within minutes of oxygen deprivation. Cell damage occurs with the initial lack of blood flow and oxygen. The second stage of injury is called “reperfusion injury” which may last for days or even weeks. This type of injury occurs after the restoration of normal blood flow and oxygen to the infant’s brain, and is due to toxins released from the damaged cells.

Infants whose cells did not receive a proper amount of oxygen for a longer time may have permanent injury to their brain, heart, lungs, kidneys, bowels or other organs. When a has asphyxia, the damage could cause cerebral palsy, developmental disabilities, attention deficit hyperactivity disorder, or impaired vision. In severe cases, asphyxia can lead to organ failure and even death. Common symptoms of birth asphyxia include:

Infant is not breathing or breathing is very weak
Poor muscle tone or reflexes are weak
Skin color is bluish or pale
Pressure on umbilical cord
Low heart rate
Low maternal blood pressure
Too much acid in the blood
Amniotic fluid is stained with meconium
Infant is experiencing seizures
Contact an Asphyxia Attorney
Birth asphyxia can be associated with the lack of quality medical care, or a medical mistake during the childbirth process. Physicians are trained to recognize symptoms of birth asphyxia. When these symptoms are not diagnosed, an infant could sustain serious neurological problems or even die. In these types of cases, a parent could have a viable medical malpractice lawsuit.

If you believe your infant has sustained a birth injury due to the negligent acts of a medical professional, you need to understand your legal rights. At the law offices of Dr. Bruce G. Fagel & Associates, we are experienced birth injury attorneys who can assist you in obtaining the financial compensation you deserve.

Dr. Fagel has been successfully representing victims in birth injury cases for decades. He is both a medical malpractice lawyer and a licensed physician. He has successfully handled more medical malpractice cases than any other attorney in California. Our experienced birth injury attorneys can review the medical records of the delivery to see if appropriate monitoring of the and mother was performed, appropriate tests were undertaken when necessary, proper treatment was rendered when required, and whether there was adequate care of the after birth.