When a baby has a health concern at or after birth, medical evaluation and complete records are more useful than assumptions about cause, preventability, or responsibility.

Use precise terms

The CDC explains that birth defects are structural changes present at birth and that the causes of many conditions are not fully known. A medical term, a condition at birth, and an injury event should not be treated as interchangeable without an appropriate clinician’s evaluation.

Keep the clinical record together

  • Prenatal, labor, delivery, newborn, imaging, laboratory, and follow-up records
  • Names and roles of facilities and health-care professionals involved in the care
  • The diagnosis, assessment, referral, and treatment information given by the care team
  • A dated list of questions for the treating clinician about condition, testing, and next steps

Questions about a North Carolina health-care negligence matter are separate from medical diagnosis and should be evaluated from the records and applicable law.

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