What Is the Sarnat Staging Score?

In cases of medical negligence involving birth injuries, one of the critical tools used by medical professionals and legal experts is the Sarnat Staging Score. This scoring system is essential in assessing the severity of neonatal hypoxic-ischemic encephalopathy (HIE), a condition caused by oxygen deprivation during childbirth, and it plays a crucial role in birth injury lawsuits.

Join us as we explore the significance of the Sarnat Staging Score in neonatal medicine and its role in evaluating cases where medical negligence may have played a part in the outcome of neonatal HIE. This article provides the necessary information and clarity for families seeking justice and accountability in emotionally challenging circumstances.

Understanding Neonatal Hypoxic-Ischemic Encephalopathy

Neonatal hypoxic-ischemic encephalopathy (HIE) is a severe and potentially life-threatening condition affecting newborns, resulting from inadequate oxygen supply and limited blood flow. HIE falls under the umbrella of birth injuries, a comprehensive term encompassing any physical harm or trauma experienced by a newborn baby during the birthing process.

A newborn’s developing brain is highly vulnerable to oxygen deprivation, and any disruption in the oxygen supply can lead to significant consequences. The brain cells, sensitive to fluctuations in oxygen levels, begin to suffer damage within minutes of oxygen reduction. If the oxygen supply is not promptly restored, the extent of brain injury can escalate rapidly, affecting various vital functions controlled by the brain.

Accurately assessing the extent of brain damage is of utmost importance, as it determines the appropriate medical care and legal action necessary to provide for the child’s future needs and hold responsible parties accountable.

Instances of medical negligence that can contribute to HIE encompass:

• Misinterpretation of fetal monitoring: Failure to discern fetal distress indicators and implement requisite measures.
• Inadequate or delayed intervention: Healthcare providers fail to promptly and effectively address complications.
• Improper use of labour-inducing drugs: Misapplication or excessive use of drugs like Pitocin, inducing hazardous contractions and oxygen deprivation.
• Inappropriate delivery tool usage: Mishandling of forceps or vacuum extractors, leading to injury when unwarranted.
• Failure to diagnose and treat maternal infections: Maternal infections can imperil the baby, culminating in oxygen deprivation and HIE.

The Sarnat Staging Score Explained

The Sarnat Staging Score is a critical medical assessment tool used to assess the severity of HIE. The scoring system was developed by Dr. Harvey Sarnat and his colleagues in the 1970s, based on clinical signs and neurological examination findings observed within the first hours to days after birth.

At its core, the Sarnat Staging Score serves as a compass for healthcare practitioners navigating the complex landscape of neonatal care. By objectively quantifying the severity of HIE, the score guides medical interventions, predicts potential long-term outcomes, and provides a basis for clinical decision-making.

The components and parameters assessed in the Sarnat Staging Score include:

1. Level of consciousness: This parameter evaluates the baby’s responsiveness and awareness, shedding light on the impact of the brain injury on cognitive function.
2. Spontaneous activity: Assessing natural movements and reflexes helps gauge the degree of neurological impairment.
3. Posture: The positioning of the baby’s body and muscle tone provides insights into motor control and potential motor deficits.
4. Autonomic system function: By examining heart rate, breathing, and other essential physiological functions, the score offers a window into the overall state of the autonomic nervous system.

Interpretation of Sarnat Staging Score Results

The Sarnat Staging Score classifies HIE severity into three stages, each indicating a different level of brain injury and potential long-term impact on the child’s development. The score’s results significantly affect long-term outcomes. A lower stage suggests a more favourable prognosis, while a higher stage indicates a bigger risk of neurological deficits.

The three stages include the following:

Stage 1 – Mild: Infants in this stage may present subtle signs of encephalopathy, such as mild lethargy or decreased responsiveness. However, neurological dysfunction is often not apparent upon routine examination.

Stage 2 – Moderate: Babies classified under Stage 2 may exhibit more significant neurological impairment, including hypotonia (low muscle tone), abnormal reflexes, and difficulty coordinating movements.

Stage 3 – Severe: Infants in this stage experience severe neurological impairment, often marked by seizures, a complete lack of responsiveness, and significant muscle tone abnormalities.

Significance of the Sarnat Staging Score in Medical Negligence Cases

In cases of alleged medical negligence during childbirth, the Sarnat Staging Score is critical in determining the extent of harm caused to the newborn. Suppose it is suspected that the infant suffered from neonatal encephalopathy due to errors or negligence during the birthing process. In that case, the Sarnat Staging Score helps a medical negligence lawyer evaluate the severity of the injury. This information is crucial for building a solid legal case and seeking appropriate compensation for the affected child’s medical expenses, ongoing care, and potential long-term rehabilitation needs.

Utilizing the Sarnat Staging Score in Birth Injury Lawsuits

Medical negligence lawyers use the Sarnat Staging Score as part of their investigation into birth injury cases. They collaborate with expert medical witnesses who can assess the child’s medical records and objectively evaluate neonatal encephalopathy’s severity.

Additionally, the lawyer will gather evidence to determine whether the medical staff’s actions during labour and delivery deviated from the standard of care expected in similar situations.

By understanding the Sarnat Staging Score and its implications, the lawyer can build a compelling case against the healthcare providers or institutions responsible for the child’s birth injury. This could lead to a favourable settlement or, if necessary, litigation to secure compensation that reflects the child’s present and future medical needs.

Get Professional Legal Help for a Child With HIE

Getting legal help for a child with HIE can indeed make a big difference. Legal representation ensures the child’s rights are protected and their best interests are considered. The Sarnat Staging Score provides valuable insights into the severity of HIE, aiding medical professionals in crafting appropriate treatment plans.

However, legal assistance can complement medical care by adequately addressing financial, educational, and long-term care needs. In the journey of caring for a child with HIE, legal help can be a beacon of hope, guiding families toward a more secure future.

Call Sommers Roth & Elmaleh to Connect With a Medical Negligence Lawyer

If your child has been diagnosed with hypoxic-ischemic encephalopathy, you are likely facing numerous challenges and uncertainties. However, you don’t have to navigate this journey alone.

Let our experienced medical negligence lawyers represent your rights and secure rightful compensation for your financial hardships and emotional distress. To connect with a proficient medical negligence lawyer who can provide the support you need, call Sommers Roth & Elmaleh at 1-844-940-2386 or contact us here.