Winning ACP (Abortion Cerebral Palsy) law suits, Part I ( WALLS (Win Abortion Liability Law Suits) #2 Feb. 2006 ) Brent Rooney If childless 'Alice' has an IA (Induced Abortion) of a first pregnancy and later has a 'preemie' with CP (Cerebral Palsy), are her odds of winning a law suit against the IA doctor reasonably good? Winning the first ACP law suit in the USA will not be easy, despite the following: 1. The evidence is very strong (some say OVERWHELMING) that prior IAs elevate the risk of a future PTBs (premature births). 2. It is not disputed by competent medical authorities that PTB (preterm birth) is a CP risk factor. Other than medical negligence leading to patient death, there is absolutely nothing that a doctor fears more than losing a CP law suit. Damage awards to plaintiffs in such law suits can run well above $1 million. So, it must be presumed that initial ACP law suits will face fierce defenses. How to boost the plaintiff's odds of winning an ACP law suit If it can be demonstrated to a court that the IA was very CI (ContraIndicated) for other reasons, that should lower the hurdle to establishing medical causation (that the IA was the cause of the subsequent newborn with CP). 'Alice' (a fictional human being) was childless when she had her surgical IA. Thus, that IA assured 'Alice' that she would be OLDER when she later has her first full-term pregnancy (FFTP). Every one year delay in FFTP increases relative BC (Breast Cancer) risk by 3.5% (compounded). (International Journal of Cancer, 1983;31:701-704). So, there we have it, "Alice's" IA was CI via elevated BC risk. Is the BC risk via delayed FFTP debatable? Only among 'flat earth' types. Visit the following websites to explore this risk: http://www.abortionbreastcancer.org http://www.bcpinstitute.org http://www.clresearch.org Are there other risks that reinforce the CI nature of IAs? IAs also multiply the risk of suicide by a factor of 2 or 3. One might think that IAs are more dangerous long term but in the short term of 12 months or so, IAs might be safer than term delivery. There is not one significant study published in a peer-reviewed medical journal to report lower total death risk for IA women in the 12 months 'after' compared to women who carried to term. A 1997 study by top Finnish researchers found that women with IAs had 3.52 times the total death risk as women who carried to term in the 12 months after 'end of pregnancy'. What would a 'statement of claims' look like for 'Alice'? A possible 'core statement of claims' for 'Alice' is in the Appendix. It's main emphasis is to claim that the IA was contraindicated. To put it mildly, the most important aspect of any medical negligence law suit would be the expert witnesses. More about that in subsequent WALLS Bulletins. The best summary article linking IAs to later risk of PTB was published in Journal of American Physicians and Surgeons in May 2003. ( http://www.jpands.org/vol8no2/rooney.pdf) This summary analysis was key to Texas recognizing the APB risk in Dec. 2003. Texas warns about the CP risk of preterm births. The APB evidence in the 2003 Rooney/Calhoun article is overwhelming and subsequent studies are simply 'icing on the cake'. ........................ Brent Rooney Vancouver, Canada email: [email protected] web: http://www.jpands.org/vol8no2/rooney.pdf Appendix: Core Statement of Claims in "Alice's" ACP law suit Core Statement of Claims in "Alice's" ACP law suit Sample case #1: CP infant of Mom ('Alice') with a Prior IA before age 17 A. Background: 1. Childless 'Alice' was under age 17 years when she had an SIA (Surgical Induced Abortion) of her first pregnancy performed by 'Dr. Doe' 2. Alice's second pregnancy ended in a delivery under 33 weeks' gestation; her contractions were weak, suggesting 'ICE' (Incompetent CErvix) 3. Alice's third pregnancy ended in 'Carl' being born under 33 weeks' gestation; again, her contractions were weak, suggesting 'ICE' !!4. "Alice's" obstetrician diagnosed 'Alice' as having 'ICE'! 5. 'Carl' was diagnosed with CP under the age of 18 months .... B. Possible SoC (Statement of Claims) for 'Alice' a. Childless 'Alice', under the age of 17, had an ELECTIVE SIA (Surgical Induced Abortion) performed by 'Dr. Doe' on __ _______ 200x. b. 'Alice' was not informed by 'Dr. Doe' that the SIA elevated her risk of 'ICE' which would raise her odds of a future premature delivery. c. 'Alice' was not informed by 'Dr. Doe' that the SIA elevated risk of reproductive tract infection which would raise her odds of a future premature delivery. d. 'Dr. Doe' also failed to inform 'Alice' that the SIA would raise her risk of a future premature delivery via the following additional mechanisms: d.1. uterine adhesions d.2. uterine fibroids d.3. mental distress d.4. substance abuse d.5. increased maternal age at future deliveries e. 'Dr. Doe' failed to inform 'Alice' that 'ICE' and RI (Reproductive Tract) infection increase the risk of newborn with CP (Cerebral Palsy), mental retardation, and other birth defects. f. "Dr. Doe's" SIA of "Alice's" first prengnacy was the cause of "Carl's" CP (Cerebral Palsy) g. 'Dr. Doe' failure to WITHHOLD the SIA procedure from 'Alice' subjected her much higher risk of suicide, a significant CONTRAINDICATION. h. 'Dr. Doe' failure to WITHHOLD the SIA procedure from young CHILDLESS 'Alice' subjected her to higher risk of BREAST CANCER, a severe CONTRAINDICATION. i. 'Dr. Doe' failure to WITHHOLD the SIA procedure from 'Alice' subjected her to higher risk of substance abuse, a strong CONTRAINDICATION. j. 'Dr. Doe' failure to WITHHOLD the SIA procedure from 'Alice' subjected her to higher risk of death in the 12 months after the 'end of pregnancy', a CONTRAINDICATION. k. 'Dr. Doe' failed in his 'continuing duty of care' to his patient 'Alice' by not informing her of the risks listed in "b." through "j." after 'Dr. Doe' performed the SIA. l. At no time before "Alice's" SIA did 'Dr. Doe' inform 'Alice' that the safer alternative to SIA for her condition (a healthy pregnancy) was a term delivery. k. - z. (The rest of "Alice's" claims against 'Dr. Doe')