Letter to the Legislator – Communicating With Your Legislator

Student’s Name

Street Code

Street Address

City

2/25/19

Delores G. Kelley

3 East Miller Senate Office Building

11 Bladen Street

Annapolis, MD 21401

REF: MARYLAND NO-FAULT BIRTH INJURY FUND

Dear Madam

In references to the legislation you proposed under number SB0869 entitled Maryland No-Fault Birth Injury Fund, I wish to make my comments and compliments. I will start with compliments. I want to admit that the proposed legislation is very significant not only to the residents from Baltimore County but to all American citizens. Losing a child during child birth is one of traumatic situation for every woman.

In most cases, factors beyond the mother or the doctor are responsible for such injuries. For example, in the process of childbirth, a complex of forces acts on the fetus, which can be divided into: the expelling forces of the uterus and the birth canal; the forces of resistance of the fetus itself and the force forming the predisposing factors of the parturient and the fetus itself. The expulsion forces of the uterus are divided into forces directed along the birth canal; the forces that impede the progress of the fetus through the birth canal, the action of which is mainly directed at the head of the child and, accordingly, at the cervical segment; forces absorbing resistance from the birth canal – the fetus during the birth act makes a rotational movement along its longitudinal axis. The forces of resistance of the fetus itself, which subsequently transform into damage to the spinal column of a newborn during childbirth: compression – due to an excessive difference in the expulsive forces of the uterus and the forces that impede the progress of the fetus through the birth canal; distraction – with forced extraction of the fetus for the head or pelvic end; rotational – with the excessive action of “lacing” forces or the wrong management of the tribal act; combined spinal injury, where the mechanisms of application of forces are diverse and act in different directions. In addition to the above, it is necessary to note the forces of predisposing factors contributing to the development of the birth trauma of the cervical segment, which are: the discrepancy between the size of the head of the newborn and the size of the mother’s pelvis; fast and rapid delivery; prolonged labor; abnormal position of the fetus and placenta; asynclic head insertion; extensor insertion of the head; obstetric turn; forceps and vacuum fetal extraction; unsuccessful and inappropriate medical benefits at birth; acceleration and stimulation of labor; pelvic presentation of the fetus; prematurity. The child born with injured spinal is likely to have rough time getting along with the normal development.

Passing a legislation that will compensate the birth injury is therefore a relief not only to the mother but it also an indicator that the child will receive adequate treatment. Untreated older children have a specific clinical picture: difficulty concentrating, problems with school performance; headache of unknown origin; complaints of heaviness in the head; attention deficit disorder; difficulties with social adaptation in the children’s team; violation of general and fine motor skills; delays in speech and mental development.

Nevertheless, I have a suggestion that the legislation should be specific on how the fund will be used. This is because there is high tendency that the needs of the child may be neglected and that the child my not receive adequate treatment and medication. Consequently, although I support the legislation, I believe that the purpose of the funds should be specified.

References

General Assembly of Maryland (2019). Maryland No-Fault Birth Injury Fund. Retrieved From: http://mgaleg.maryland.gov/webmga/frmMain.aspx?pid=billpage&tab=subject3&id=sb0869&stab=01&ys=2019RS

 

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