Alvis v. Henderson Obstetrics, S.C.

592 N.E.2d 678, 227 Ill. App. 3d 1012, 170 Ill. Dec. 242
CourtAppellate Court of Illinois
DecidedMay 15, 1992
Docket3—90—0663, 3—90—0674 cons.
StatusPublished
Cited by3 cases

This text of 592 N.E.2d 678 (Alvis v. Henderson Obstetrics, S.C.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alvis v. Henderson Obstetrics, S.C., 592 N.E.2d 678, 227 Ill. App. 3d 1012, 170 Ill. Dec. 242 (Ill. Ct. App. 1992).

Opinion

PRESIDING JUSTICE BARRY

delivered the opinion of the court:

Briana Li Alvis, daughter of plaintiffs Rodger Alvis and Marsha Alvis, suffered severe injury to her kidneys at the time of her birth on November 15, 1983. This medical malpractice action was brought by plaintiffs against Dr. William P. Henderson, the obstetrician who delivered her, and BroMenn Healthcare, successor to Brokaw Hospital in Bloomington, where the delivery took place. Following a six-day jury trial, a verdict of $2,909,818.42 was returned in favor of plaintiffs, and on BroMenn’s counterclaim against Dr. Henderson for contribution, the jury apportioned the verdict 75% against the doctor and 25% against the hospital. Judgment was entered on the verdicts. However, after considering post-trial motions, the trial court vacated judgment on the counterclaim.

Dr. Henderson appeals from the judgment against him in favor of plaintiffs. BroMenn appeals from the judgment in favor of plaintiffs and from the denial of its counterclaim against Dr. Henderson.

Dr. Henderson was the attending physician for the delivery of Marsha Alvis’ first child born in 1981. Because the child was premature at birth, it had respiratory difficulties and had to be transferred to St. Francis Hospital in Peoria. When Marsha again became pregnant, she wanted to establish the correct due date. On the basis of her last menstrual period, Dr. Henderson said her due date was November 11, 1983, but a subsequent sonogram indicated a due date of December 25, 1983. A second sonogram also indicated a December 25 due date. Sonograms at that time were accurate within two to four weeks on either side of the predicted date.

Marsha testified that the second sonogram revealed the baby in a breech position (butt down) and that Dr. Henderson told her that he would deliver the baby by cesarean section if it was still breech three weeks before the December 25 due date.

Marsha was examined by Dr. Henderson twice on November 14 in his office. Both times he found her cervix to be thick and dilated two centimeters and the baby to be in a vertex position (head down). At 1:15 a.m. on November 15, Marsha was admitted to Brokaw Hospital with contractions about eight minutes apart. The admitting nurse, Cynthia (Murphy) Ptasnik, took her medical history, reviewed her prenatal record which was on file at the hospital, and performed a vaginal examination which she said indicated vertex presentation.

The nurse found the cervix to be dilated to three to four centimeters and to be effaced (thinned) about 60% to 70%. She called Dr. Henderson at 1:50 a.m. for orders and reported to him by telephone again at 6:30 a.m. before going off duty. During the night Marsha stopped feeling any contractions; however, a fetal monitor attached to her abdomen indicated that contractions were continuing and becoming more frequent. In the course of the telephone report at 6:30 a.m., Dr. Henderson ordered the administration of pitocin to augment labor so that the contractions would become more frequent and stronger.

After the shift change, Mary Kuerth was the registered nurse responsible for Marsha. At trial she testified that she had been uncertain as to the baby’s position after her first vaginal examination at about 6:30 a.m., although she made no such notation in the patient’s chart.

Dr. Henderson next examined Marsha in the hospital about 9 a.m., at which time he performed both Leopold’s maneuvers (abdominal palpitation) and a vaginal exam and found the baby to be in a vertex position. He then ruptured the membranes of the mother’s water bag.

Mary Kuerth administered the pitocin, performed nine vaginal examinations during the day, and reported Marsha’s progress by telephone to Dr. Henderson at regular intervals. All of Mary’s examinations were recorded as indicating vertex position. During the day the contractions became more frequent and cervical changes continued. About 2:35 p.m. Mary called Dr. Henderson to let him know that Marsha was making good progress and to find out how he could be reached when she was ready to deliver. According to Mary, cervical dilation had progressed by 21k centimeters between 1 p.m. to 2:45 p.m. and was seven to eight centimeters at that time.

As Mary Kuerth’s shift ended, Lynette Taylor came on duty and was assigned the care of Marsha Alvis. In doing her first vaginal examination at 2:55 p.m., she found the cervix fully dilated and the baby in a frank breech position (buttocks first). According to the fetal monitor, the baby’s heart beat was decelerating. Dr. Henderson was called and arrived three minutes later. He found the baby’s buttocks visible, determined that it was too late to perform a cesarean section, and proceeded with a vaginal delivery.

The baby’s buttocks came first followed by legs and body up to the neck. The nurses who were present in the delivery room testified that Dr. Henderson had his hands around the baby’s body with his thumbs in the small of the back and his fingers gripping the abdomen and upper thighs. He pulled on the baby several times and rotated her to obtain various angles in an effort to deliver the head. The umbilical cord was visible around the baby’s neck. The nurse assisting him asked three times whether he did not want to cut the cord, and after several minutes, the doctor did cut the cord and was then able to deliver the head. The baby was blue and not breathing. One of the nurses and Dr. Henderson began resuscitation on the baby, who soon began to breathe on her own.

Dr. Henderson testified at trial that after birth it was determined that the baby’s gestational age was 35 to 36 weeks, but that he had believed her to be full term on November 14, 1983. He also stated that he now believes he probably erred as to the vertex presentation and that she was probably breech the entire day since a reversal of position in the uterus is rare. He further testified that he believed the mother to be in labor when he ordered the pitocin and when he ruptured her water bag, and that the determination of gestational age and onset of labor are the responsibility of the doctor, not the nurses. He based his conclusion that labor had begun from the contractions and the effacement and dilation of the cervix.

Plaintiff’s key expert witness was Dr. Robert Kretzschmar of Iowa City, Iowa, who stated that in his opinion, the mother was not in labor before 11 a.m. on the morning of November 15. He also testified that it was his opinion that Dr. Henderson was negligent in ordering pitocin, in rupturing the mother’s water bag, in failing to discover that the baby was in a breech position, and in using excessive pressure on soft tissues in the delivery.

Dr. James Zimmerman, a pediatrician who arrived in the delivery room shortly after birth, observed bruises on the baby’s buttocks. He transferred her to St. Francis Hospital in Peoria because she was having respiratory problems. When the baby was three days old, a Peoria nephrologist, Dr. Philip J. Olsson, was called in because of her low urinary output. He saw a lot of bruising in her flank area and sacrum. Following an angiogram, he found her arteries open, but that extensive hemorrhaging had occurred in the flank area around the kidneys and under the capsula of the kidneys.

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Bluebook (online)
592 N.E.2d 678, 227 Ill. App. 3d 1012, 170 Ill. Dec. 242, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alvis-v-henderson-obstetrics-sc-illappct-1992.