When medical negligence during pregnancy, labor, or delivery causes lasting harm to your child, our attorneys fight for the compensation your family deserves — in Iowa, Minnesota, and across the country.
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At Hixson & Brown, P.C., our birth injury lawyers bring decades of experience to families across Iowa, Minnesota, and the United States. We hold negligent healthcare providers accountable and fight for the compensation your child needs — for medical care, rehabilitation, adaptive equipment, and the best possible future.
Birth injury cases are among the most medically complex forms of malpractice litigation. They require attorneys who understand fetal monitoring standards, obstetric protocols, neonatal resuscitation, and the long-term care needs of children with brain injuries and neurological conditions. Our team has that knowledge — and a national network of obstetric and neonatal experts to support every case we file.
If you suspect that a preventable medical error caused your child’s injury, contact us for a free, confidential case evaluation. We handle all birth injury cases on a contingency fee basis — you pay nothing unless we recover compensation for your family.
Birth injuries can occur at any point during pregnancy, labor, or delivery. While some complications are unavoidable despite excellent care, many result directly from medical negligence — a failure to meet the accepted standard of care. Common causes our attorneys investigate include:
Birth injuries per 1,000 live births in the U.S. each year
Of birth injuries classified as moderate to severe
Of OB-GYNs have been sued at least once during their careers
Our birth injury attorneys represent families in a wide range of cases involving labor and delivery negligence. Whether your case arose in Iowa or another state, we have the experience, expert resources, and legal knowledge to pursue it wherever it needs to go.
Hypoxia & Hypoxic Ischemic Encephalopathy (HIE)
Oxygen deprivation during birth is one of the leading causes of serious, permanent brain damage in newborns. HIE occurs when the brain is deprived of adequate oxygen, causing cell death that can result in cerebral palsy, cognitive impairment, seizure disorders, and developmental delays. Many HIE cases are caused by preventable failures — delayed C-section, unrecognized fetal distress, or mismanagement of umbilical cord complications. We obtained a $5.5M verdict in an HIE birth injury case.
Cerebral Palsy
Cerebral palsy affects movement, muscle tone, and motor skills and is often caused by brain injury occurring around the time of birth. If your baby was born with a low Apgar score, low blood pH, or low base excess resulting in brain injury, our attorneys will review the complete medical record with obstetric and neurological experts to determine whether negligence occurred. Cerebral palsy affects an estimated 8,000 to 10,000 babies in the U.S. each year, and lifetime care costs routinely exceed $1 million.
Periventricular Leukomalacia (PVL)
PVL is damage to the white matter of the brain near the ventricles, often resulting from oxygen deprivation or infection during or around birth. PVL is one of the most common causes of cerebral palsy and other neurodevelopmental disabilities in premature infants.
Intraventricular Hemorrhage (IVH)
Bleeding in or around the brain's ventricles, most common in premature infants. IVH severity ranges from minor Grade I bleeds to catastrophic Grade IV hemorrhages that cause extensive brain damage. Cases involving IVH in premature infants often require analysis of whether the mother was properly transferred to a Level III tertiary care facility before delivery.
Periventricular Cysts
Formation of cysts in brain tissue adjacent to the ventricles, indicating underlying brain injury caused by insufficient oxygen supply, infection, or other insults during or after birth. These cases require detailed neonatal neuroimaging review by specialized experts.
Erb's Palsy & Brachial Plexus Injuries
Erb's palsy is a brachial plexus injury affecting sensation and motor control in the infant's upper arm, occurring in as many as 2.6 out of every 1,000 live births. It is most often caused by excessive lateral traction applied to the baby's head during delivery when shoulder dystocia is present. Improper application of force — rather than proper obstetric maneuvers to resolve shoulder dystocia — is frequently negligent. Severity ranges from temporary weakness to permanent paralysis of the arm.
Klumpke's Palsy
A lower brachial plexus injury causing weakness or paralysis in the hand and forearm, sometimes accompanied by Horner's syndrome. Like Erb's palsy, Klumpke's often results from improper traction forces during a difficult delivery.
Shoulder Dystocia
When the baby's shoulder becomes lodged behind the mother's pubic bone after the head delivers, skilled obstetric management is critical. Improper handling — excessive traction, incorrect maneuvers, or delay in implementing established shoulder dystocia protocols — can cause brachial plexus nerve damage, oxygen deprivation from umbilical cord compression, and other serious injuries to both baby and mother.
Hemiplegia & Diplegia
Hemiplegia causes weakness or paralysis affecting one side of the child's body; diplegia primarily affects both legs. Both are frequently associated with brain injuries sustained during birth, and may result from HIE, IVH, PVL, or stroke occurring around the time of delivery.
Preeclampsia & HELLP Syndrome
Preeclampsia — high blood pressure with signs of organ damage during pregnancy — requires careful monitoring and timely intervention. Failure to diagnose preeclampsia, failure to administer magnesium sulfate to prevent seizures (eclampsia), or delayed delivery when indicated can lead to premature birth, stroke, organ failure, or maternal and fetal death.
Failure to Diagnose Fetal Distress
Most cases of fetal distress involve insufficient oxygen supply to the unborn infant, reflected in abnormal fetal heart rate patterns on electronic fetal monitoring (EFM) strips. Failure to correctly interpret EFM tracings, failure to escalate concerns to a physician, or failure to act promptly on recognized fetal distress can result in permanent brain injury or stillbirth. These cases require detailed review of the EFM record by obstetric experts.
Stillborn Babies & IUGR
Intrauterine growth restriction (IUGR) — when a fetus fails to grow at the expected rate — significantly increases the risk of stillbirth when not properly diagnosed and monitored. Failure to recognize IUGR through appropriate ultrasound surveillance, failure to refer to a maternal-fetal medicine specialist, or failure to deliver at an appropriate gestational age may constitute malpractice.
Failure to Diagnose Preterm Labor
Our firm represents families whose providers failed to recognize signs of preterm labor and failed to transfer the mother to a Level III tertiary care center — a hospital with a neonatal intensive care unit (NICU) equipped to care for premature infants. This failure can result in premature delivery at a facility that cannot provide the specialized care the infant requires.
Uterine Rupture
Risk factors for uterine rupture include prior cesarean sections, uterine trauma, and certain medications. When warning signs of uterine rupture — including sudden severe pain, abnormal fetal heart rate changes, and maternal instability — are not recognized and acted upon immediately, the results can be catastrophic for both mother and baby.
Forceps & Vacuum Extractor Injuries
Operative vaginal delivery — using forceps or vacuum extractors — requires training, skill, and judgment about when these instruments are appropriate. Serious injuries from improper use include brachial plexus nerve damage, retinal hemorrhage, skull fractures, intracranial bleeding, and facial nerve injuries to the infant, as well as significant maternal injuries.
Bowel Malrotation in Newborns
A malrotated bowel or intestinal obstruction in a newborn can be life-threatening and requires prompt recognition and surgical intervention. Delays in diagnosis — or failure to recognize the signs of intestinal obstruction in the immediate newborn period — can result in bowel necrosis, sepsis, and catastrophic brain injury from oxygen deprivation.
Hyperventilation & Hypocarbia
Excessive ventilation of a premature infant — resulting in abnormally low carbon dioxide levels (hypocarbia) — can cause severe cerebral vasoconstriction and brain injury. Cases involving improper neonatal resuscitation or ventilator management in the NICU require specialized neonatal expert review.
We also handle cases involving Klumpke’s palsy, infant brain bleeding, RH and ABO incompatibility, hyperbilirubinemia, and formation of periventricular cysts in periventricular leukomalacia.
Birth injury cases require attorneys who understand both the obstetric medicine and the applicable law. Our team has investigated and litigated cases well beyond Iowa’s borders, working with medical experts, life care planners, and economists across the country to build the strongest possible case for each family.
Medical malpractice laws vary significantly by state — including differences in statutes of limitations, damages caps, expert witness requirements, and filing procedures. Our firm’s experience across multiple jurisdictions means we understand these differences and can represent families wherever they need us. Our co-counsel partnership with Trial Lawyers for Justice (TL4J) extends our reach further for complex national cases requiring additional resources.
For families in Iowa, we also have specific experience with claims against the University of Iowa Hospitals and Clinics — including compliance with the Iowa Tort Claims Act’s 60-day notice requirement for state-run facilities.
For families in Iowa, understanding the state’s legal framework for birth injury claims is an important first step. These rules apply specifically to Iowa cases — other states have different requirements that our attorneys can explain during a free consultation.
Under Iowa Code § 614.1(9)(a), medical malpractice claims — including birth injury cases — must generally be filed within two years from the date you knew or should have known about the injury and its cause. This "discovery rule" means the clock does not automatically start on the date of delivery but on the date you had sufficient information to recognize a potential claim.
Iowa also imposes a six-year statute of repose — no claim may be filed more than six years after the alleged malpractice occurred, regardless of when it was discovered.
Important exception for children: If the injured child was under the age of eight when the malpractice occurred, the lawsuit must be filed no later than the child's 10th birthday or within the standard two-year discovery window — whichever is later (Iowa Code § 614.1(9)(b)). This exception recognizes that some birth injuries — including certain neurological conditions — may not be fully apparent until the child reaches school age.
UIHC and state facility claims: Claims against the University of Iowa Hospitals and Clinics require a formal notice of claim within 60 days of the incident under the Iowa Tort Claims Act. This deadline applies regardless of the child's age and is easy to miss — contact an attorney immediately if your child was treated at UIHC.
Because investigating birth injury cases takes time — often six months or more before a lawsuit can be filed — contacting an attorney as early as possible is essential to preserve your rights.
Iowa families who pursue a successful birth injury claim may recover compensation for:
In 2023, Iowa enacted caps on non-economic damages in medical malpractice cases: $1 million for claims against individual healthcare providers and $2 million for claims against hospitals. These caps apply only to non-economic damages such as pain and suffering and loss of enjoyment of life.
There are no caps on economic damages — medical expenses, future care costs, and lost earning capacity are fully recoverable regardless of amount. In serious birth injury cases involving cerebral palsy or permanent neurological impairment, lifetime medical and care costs can easily reach $1 million or more — and this full amount is recoverable without any legal cap. Our attorneys work with life care planners and economic experts to comprehensively quantify all current and future losses before any settlement discussions begin.
Iowa law requires that before filing a medical malpractice lawsuit, the plaintiff must obtain a certificate of merit affidavit from a qualified medical expert. This affidavit must confirm there is a reasonable basis to believe that the healthcare provider's actions fell below the applicable standard of care and that this breach caused the claimed injury.
In birth injury cases, this typically requires review by a qualified obstetrician, maternal-fetal medicine specialist, neonatologist, or neurologist — depending on the nature of the claim and which providers are named as defendants. Our attorneys work with a national network of leading obstetric and neonatal experts to obtain the required certificate and build a strong, expert-driven foundation for every case.
Failure to obtain a certificate of merit within the required timeframe — or obtaining one from a provider who does not meet Iowa's qualification standards for the specific specialty at issue — can result in dismissal of the case with prejudice. This requirement is one of several reasons why birth injury investigation takes time and why early legal consultation is so important.
Not all birth injuries are caused by negligence — some complications occur despite excellent, appropriate care. However, certain warning signs suggest a legal investigation is warranted: unexpected emergency interventions during delivery, low Apgar scores or low blood pH at birth, a diagnosis of cerebral palsy, HIE, or brachial plexus injury, prolonged labor without C-section when fetal distress was present, or being told by another provider that something during the delivery was unusual or improper.
The only reliable way to determine whether malpractice occurred is to have your child's complete medical records reviewed by qualified obstetric and neonatal experts. Our attorneys do this at no cost during the initial case evaluation. We give every family an honest assessment — we do not take cases we do not believe in, and we do not tell families they have a case when the evidence does not support one.
In Iowa, the general rule is two years from the date you knew or should have known about the injury and its possible connection to medical care. For children injured before age eight, claims must be filed no later than the child's 10th birthday — giving families additional time when a birth injury is not fully apparent until the child develops further.
For claims against the University of Iowa Hospitals and Clinics or other state facilities, a notice of claim must be filed within 60 days of the incident — a short deadline that can be easy to miss. Because malpractice investigations take months before a lawsuit can even be filed, contacting an attorney as soon as you suspect a problem is always the right move. Other states have different rules — if your injury occurred in Minnesota or another state, the applicable deadlines may differ.
Compensation in a birth injury case can include past and future medical expenses, the cost of long-term or lifetime care, physical and occupational therapy, adaptive equipment and home modifications, lost earning capacity for the child, parents' lost wages, and pain and suffering. Iowa enacted non-economic damage caps in 2023 — $1 million against individual providers and $2 million against hospitals — but these apply only to non-economic damages like pain and suffering.
There are no caps on economic damages in Iowa. In serious birth injury cases involving cerebral palsy or permanent neurological impairment, lifetime medical and care costs can easily reach $1 million or more — and this full amount is recoverable without any legal cap. Our attorneys work with life care planners and economic experts to comprehensively quantify all current and future losses before any settlement discussions begin.
At Hixson & Brown, P.C., we handle birth injury cases on a contingency fee basis. There are no upfront costs, no hourly fees, and no charge for your initial consultation. You pay attorney fees only if we successfully recover compensation for your family — and only as a percentage of that recovery.
This ensures that every family — regardless of financial circumstances — has access to the same quality of expert legal representation that is required to win serious birth injury cases. It also aligns our incentives directly with yours: we are committed to recovering the maximum possible compensation because our fee depends on your outcome.
The information on this website is for general informational purposes only and is not intended as legal advice. You should consult a qualified attorney regarding your specific situation.
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Every case is different. Prior results do not guarantee a similar outcome in your case.
Questions? Call (515) 222-2620