What Causes Fetal Distress & How It Can Injure Your Baby in Springfield, MA

By A Good Law Firm on May 15, 2025

A pregnant woman sits on a hospital bed holding her head in discomfort, symbolizing the emotional and physical strain associated with fetal distress and potential birth complications in Springfield, Massachusetts.

Pregnancy and childbirth are moments of hope and anticipation. But when something goes wrong during labor, the consequences may be permanent. Fetal distress is a medical emergency that requires fast recognition and decisive action. When warning signs are missed or ignored, a baby can suffer serious birth injuries that dramatically affect their health, development, and quality of life.

Al Goodman is a birth injury attorney in Greater Springfield. In this guide, our legal team at Better Call Al explains the causes of fetal distress, how oxygen deprivation can injure a baby, and how Massachusetts law addresses medical malpractice birth injury cases.

What Is Fetal Distress?

Fetal distress refers to signs that a baby is not tolerating labor or the intrauterine environment. It often signals that the fetus is not receiving enough oxygen, nutrients, or blood flow. Doctors and nurses are trained to identify fetal distress using fetal heart rate tracings, maternal vital signs, and labor progression.

When recognized promptly, fetal distress can often be resolved through medical intervention. If it is missed or managed too slowly, the result may be catastrophic.

Common Causes of Fetal Distress

Learning about the causes of fetal distress helps families understand how preventable errors can occur during pregnancy and delivery.

Umbilical Cord Problems

The umbilical cord supplies oxygen and nutrients to the fetus. Compression, prolapse, or knotting of the cord can abruptly restrict blood flow. These emergencies require immediate response, often including an emergency C-section.

Placental Abruption

Placental abruption occurs when the placenta partially or fully detaches from the uterus before delivery. This can cause sudden oxygen deprivation and severe bleeding. Delayed diagnosis or failure to act quickly places the baby at extreme risk.

Maternal Hypertension or Preeclampsia

High blood pressure during pregnancy can impair placental function and reduce oxygen delivery to the fetus. Poor monitoring or delayed intervention can lead to fetal distress during labor.

Prolonged or Obstructed Labor

When labor lasts too long or fails to progress, the baby may experience increasing stress and reduced oxygen levels. Medical teams must reassess labor frequently and recognize when vaginal delivery is no longer safe.

Fetal Growth Restriction

Babies who are smaller than expected for gestational age may already be compromised. These pregnancies require heightened monitoring, particularly during labor, to avoid hypoxic injury.

How Fetal Distress Injures Babies

The most dangerous consequence of fetal distress is oxygen deprivation, also called hypoxia. Even brief periods without adequate oxygen can damage a baby’s brain and organs.

Hypoxic Ischemic Encephalopathy (HIE)

Hypoxic ischemic encephalopathy (HIE) occurs when reduced oxygen and blood flow cause brain injury. HIE can result in seizures, feeding difficulties, motor impairments, and lifelong cognitive challenges.

Cerebral Palsy

Oxygen deprivation during labor is a known cause of cerebral palsy. This condition affects muscle control, movement, and posture, and often requires lifelong medical care and therapy.

Neurological Deficits and Developmental Delays

Babies who experience fetal distress may later show learning disabilities, speech delays, behavioral challenges, or reduced intellectual functioning.

Stillbirth

In severe cases, untreated fetal distress can lead to stillbirth. These losses are devastating and they raise serious questions about whether earlier intervention could have saved the baby’s life.

The Role of Fetal Heart Rate Monitoring

Continuous fetal heart rate monitoring is a cornerstone of obstetric care. When warning signs appear, the duty of care requires prompt action. Patterns such as late decelerations, minimal variability, or prolonged drops in heart rate can indicate distress.

Fetal heart rate monitoring errors are a frequent factor in birth injury cases. This may include:

  • Misreading or ignoring abnormal tracings
  • Failing to escalate concerns to an obstetrician
  • Delaying necessary interventions

The Duty of Care in Obstetric Medicine

In Massachusetts, doctors, nurses, and hospitals owe patients a legal duty to provide care that meets accepted professional standards. In obstetrics, this includes:

  • Proper prenatal risk assessment
  • Continuous and accurate monitoring during labor
  • Timely response to signs of fetal distress
  • Making appropriate decisions regarding operative delivery

Failures in these areas may constitute delivery negligence, especially when delays or misjudgments lead to oxygen deprivation injuries.

Types of Delivery Negligence

Birth injury cases in Springfield often involve preventable errors such as:

  • Delayed decision to perform a C-section
  • Inadequate response to abnormal fetal heart rate patterns
  • Poor communication among labor and delivery staff
  • Failure to manage high-risk pregnancies appropriately

Medical Malpractice in Massachusetts

Medical malpractice claims in Massachusetts follow specific rules designed to evaluate the merits of a case early in the process.

Medical Malpractice Tribunal

Most birth injury cases are reviewed by a medical malpractice tribunal under M.G.L. c. 231 § 60B. The tribunal evaluates whether there is sufficient evidence that medical negligence occurred and caused injury.

Statute of Limitations

In most cases, a medical malpractice claim must be filed within three years of when the injury was discovered or reasonably should have been discovered. Special rules may apply in cases involving children, but delays can still jeopardize your rights.

Every case is different and there are exceptions. That’s why we strongly encourage you to speak with a qualified attorney about your claim as soon as possible.

How a Birth Injury Lawyer Can Help

Birth injury cases can be emotionally overwhelming for families. A birth injury lawyer can help by:

  • Reviewing medical records from pregnancy and delivery
  • Identifying where standards of care were not followed
  • Connecting fetal distress to resulting injuries
  • Handling tribunal requirements and court filings

Compensation for Lifelong Medical Care

When fetal distress leads to permanent injury, the financial impact can be immense. A successful claim or lawsuit may allow families to pursue compensation for:

  • Ongoing medical treatment and therapy
  • Assistive devices and specialized care
  • Educational support and accommodations
  • Long-term care planning
  • Emotional and physical suffering

The goal is to ensure that injured children have access to the care and support they will need throughout their lives.

Why Families Turn to Better Call Al

For decades, Better Call Al has represented families in Springfield and throughout Hampden and Hampshire Counties in serious injury and medical malpractice matters. Birth injury cases require careful preparation, medical understanding, and a willingness to pursue difficult claims when the stakes are high. Better Call Al focuses on quality over volume, handling select cases where preventable medical errors have altered a family’s future.

Our attorney Al Goodman has led on Chapter 258 governmental tort claims and taught at the NITA trial advocacy summer seminar at Harvard Law School. He has also worked as an adjunct professor at Western New England University.

Speak With a Trusted Springfield Birth Injury Lawyer Today

If your child suffered harm related to fetal distress, you deserve answers. You also have a right to understand your legal options.

Call (413) 736-1616 to learn more. We offer free consultations, and there’s no obligation.

Remember: You pay nothing unless we win.

Posted in: Birth Injury

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