Practice of Medicine

Claims Lesson

Lack of Midlevel Supervision Contributes to Shoulder Dystocia Claim

November 26, 2013

The Case

A 29-year-old female patient G2, P1 presented with a past history of shoulder dystocia in her first delivery. Her EDC (estimated delivery date) was 4/24/04. At her next prenatal visit on 4/5/04, she was seen by a CNM (certified nurse midwife). At that time she weighed 226 lbs, and the clinical assessment estimated the fetal weight to be over 8 lbs.

The patient was admitted on 4/13/04 …

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