Pittsburgh HIE Attorney

Compassionate Support & Proven Results for Families Facing Hypoxic Ischemic Encephalopathy

When a newborn is diagnosed with hypoxic ischemic encephalopathy (HIE), parents face some of their most overwhelming moments. At Friday & Cox LLC, we understand the heartbreak and uncertainty that come with an HIE diagnosis in Pittsburgh. Our role is to help you navigate the medical and legal questions that shape your child’s future.

Many families first meet us when seeking clarity after a sudden crisis at hospitals like UPMC Magee-Womens Hospital or AHN West Penn Hospital. Our attorneys strive to combine genuine compassion with experienced advocacy so that you feel heard, informed, and supported the entire way. We have worked with families throughout Pittsburgh to pursue meaningful answers and resources, anchored by decades of trial-tested results in difficult birth injury cases.

You do not have to face this journey alone. With over 100 years of combined experience and a record of helping clients secure substantial compensation in birth injury and medical malpractice claims, our team is dedicated to guiding your family as you seek justice and support for your child.

To schedule a free consultation, call (412) 900-8250 or contact us online today.

What is Hypoxic-Ischemic Encephalopathy?

Hypoxic-Ischemic Encephalopathy (HIE) is a type of brain injury caused by a lack of oxygen (hypoxia) and reduced blood flow (ischemia) to a newborn’s brain before, during, or shortly after birth. Even minutes without adequate oxygen can result in permanent brain damage.

HIE may vary in severity:

• Mild HIE: Temporary symptoms, typically resolved within 24–72 hours
• Moderate HIE: Potential long-term developmental or neurological impacts
• Severe HIE: High risk of permanent disability, seizures, or death

Many cases of HIE are preventable with proper monitoring, timely intervention, and adherence to established medical standards. When healthcare providers fail to recognize warning signs or respond correctly, the consequences can be catastrophic.

Common Causes of HIE

HIE can occur for many reasons, but medical negligence is often involved. Some of the most frequent preventable causes include:

Failure to Monitor Fetal Distress

Doctors and nurses must closely monitor fetal heart rate patterns. Abnormal readings often signal oxygen deprivation.
Common failures include:

• Missing signs of fetal distress
• Delayed response to abnormal tracings
• Misinterpretation of monitoring data

Delayed or Improper C-Section

When a baby is in distress, a timely C-section is crucial. Delays can lead to prolonged oxygen deprivation and permanent injury.
Examples include:

• Staff failing to call for a C-section
• Hospital delays in preparing the operating room
• Doctors waiting too long to intervene

Umbilical Cord Problems

Oxygen flow can be restricted if the umbilical cord becomes compromised.
Common issues include:

• Cord prolapse
• Nuchal cord (cord wrapped around the baby’s neck)
• Compressed or knotted cord
• Proper monitoring and immediate action are essential to prevent HIE.

Placental Abruption or Uterine Rupture

These obstetric emergencies cut off oxygen flow and require immediate intervention. Delayed treatment may result in severe HIE.

mproper Use of Delivery Tools

Forceps and vacuum extractors, when used incorrectly, can worsen oxygen deprivation or cause traumatic injury.

Maternal Complications

Untreated maternal conditions—including infections, hypertension, or diabetes—can lead to reduced oxygen supply and fetal distress if not properly managed.

Long-Term Impact of HIE

The effects of HIE depend on the severity of the brain injury. However, even mild cases can lead to significant lifelong challenges.

Developmental Delays

Children with HIE often experience delays in crawling, walking, talking, or social development.

Cerebral Palsy

HIE is one of the leading causes of cerebral palsy, a condition affecting muscle control, movement, and posture.

Cognitive & Learning Disabilities

Long-term impacts may include:

• Memory problems
• Learning challenges
• Attention disorders
• Executive functioning impairments

Speech & Motor Disorders

Many children with HIE require speech therapy, occupational therapy, or physical therapy for years.

Seizure Disorders

HIE frequently leads to neonatal seizures and ongoing epilepsy.

Lifetime Medical Expenses

Families may face:

• Therapy costs
• Medication
• Assistive equipment
• In-home care
• Special education services

A successful birth injury claim can secure the financial support needed to provide your child with the highest quality of life.