OB/GYNBirth InjuryPlaintiff-side

Built for the $10M+ birth-injury case.
AI deposition trainer with NICHD + HELPERR depth.

Birth-injury cases — HIE, cerebral palsy, brachial-plexus injury, shoulder dystocia — carry the highest lifetime-care economic damages of any medmal category. Life-care plans regularly exceed $10M. The cross-examination canon is tightly defined: NICHD three-tier EFM, ACOG Practice Bulletins 106 and 178, the 2014 ACOG/AAP Neonatal Encephalopathy criteria. Generic AI doesn't engage that canon. This one does.

Try the 2-min OB/GYN demo → All specialties
13
OB/GYN failure modes
3
ACOG/NICHD guidelines cited
10
NICHD-grounded cross-exam seeds

Why an OB/GYN-specific trainer matters

Birth-injury verdicts skew higher than any other medmal subspecialty because the plaintiff is a child whose lifetime-care costs anchor an enormous damages model. A single missed Category III tracing or a single charted "downward traction" admission can drive a $10M+ verdict. The cross-examination canon is built around three specific reference frames — NICHD EFM categories, HELPERR sequencing, and ACOG/AAP NE essential criteria — and witnesses who don't speak that canon precisely lose cases.

The trainer runs your defendant OB or L&D nurse witness through hostile cross built on that canon. Every question is grounded in either the chart you uploaded or the published ACOG/NICHD framework that governs the standard.

The 13 failure modes

Sev 9

EFM category misread

Witness called a Category II tracing "reassuring" or a Category III tracing "indeterminate" — contradicts NICHD 2008 three-tier system.

"The strip was reassuring — I wasn't concerned."
Sev 9

Late-C-section retrospective concession

"Looking back, I would have gone to section sooner" — direct causation admission.

"In hindsight, an earlier section might have helped."
Sev 9

Excessive-traction admission

Witness conceded "downward" or "lateral" traction on the fetal head — classic Erb's-palsy plaintiff trap.

"I had to apply more downward force than usual."
Sev 9

Blame-shifting to L&D nurse

Witness blamed the L&D nurse for failing to escalate Cat II/III — jury hates this; jury alliances with the team.

"Nurse X should have called me when the strip changed."
Sev 8

Shoulder-dystocia maneuver-sequencing gap

Witness skipped a HELPERR step or can't recall sequence: McRoberts → suprapubic → Rubin → Woods → posterior arm → Zavanelli.

"I went straight to delivering the posterior arm — I don't recall trying suprapubic pressure first."
Sev 8

Cord-gas causation speculation

Witness speculates about pH/base-deficit thresholds without invoking ACOG/AAP NE essential criteria.

"A low pH means the baby was acidotic — that probably caused the brain injury."
Sev 7

Pitocin titration without dose recall

Witness can't recall milliunits/min or stop criteria when chart shows hyperstimulation.

"I'd have to look at the chart for the exact Pitocin dose."
Sev 7

Hyperstimulation definition dodge

Witness defines tachysystole inconsistently with ACOG (>5 contractions/10 min averaged over 30 min).

"Hyperstimulation is when contractions get too frequent — I'd have to look up exact criteria."
Sev 7

EFM interval violation

Witness deviated from ACOG continuous-monitoring or 15-min/5-min interval-checks during stage 2.

"We were checking the strip about every half hour or so."
Sev 7

PPH / neuro-deterioration timing failure

Witness can't anchor postpartum hemorrhage or neuro-change timeline within ACOG-stated QBL thresholds.

"She bled more than expected — I'd have to check QBL to give a number."
Sev 6

VBAC counseling-gap admission

Witness can't recall specific risks discussed for TOLAC (uterine rupture 0.5-1%, perinatal mortality).

"I told her there were risks but I don't recall going through specific percentages."
Sev 6

Categorical informed-consent claim

"I always discuss shoulder-dystocia risk" — one chart without it destroys credibility.

"I always counsel patients about shoulder dystocia in macrosomic deliveries."
Sev 6

Macrosomia-evaluation gap

No US or EFW estimate when ACOG recommends EFW > 5000g (non-diabetic) / 4500g (diabetic) C-section discussion.

"I didn't think the baby was particularly large — we don't always do a late-term US."

The signature impeachment trap

"I was monitoring continuously"

Lock the OB witness into categorical attentiveness, then walk the EFM strip moment by moment. The chart's first documented intervention often comes 20+ minutes after the first non-reassuring deceleration. Once that gap is spoken, the witness can't retract it.

"You were paying close attention to that strip, doctor?" → "Yes."
"From 14:22 to 14:47, the strip shows recurrent late decelerations."
"Your first documented intervention is the call for help at 14:51, correct?"

Why this lands: 29 minutes of unexplained latency. Jury hears: "The doctor watched and did nothing."

The 3 cited guidelines

ACOG Practice Bulletin 106 (Intrapartum FHR Monitoring)2009, reaffirmed — operationalizes the NICHD three-tier framework (Category I reassuring, II indeterminate, III abnormal/predictive of acidemia)
ACOG Practice Bulletin 178 (Shoulder Dystocia)2017 — HELPERR sequencing canon (McRoberts → suprapubic pressure → Rubin → Woods → posterior arm → Zavanelli)
ACOG/AAP Neonatal Encephalopathy and Neurologic Outcome (2nd ed., 2014)Essential criteria for intrapartum hypoxic-ischemic causation in CP/HIE: cord pH < 7.0, base deficit ≥ 12, Apgars, MRI pattern, exclusion of other causes

FAQ

How is this different from generic AI deposition tools?

Generic depo-prep AI runs the same script regardless of specialty. This trainer loads the OB/GYN specialty pack as soon as you tag the case — the AI examiner uses NICHD-precise language for EFM categories, walks HELPERR sequencing when the chart shows a shoulder dystocia, runs the cord-gas/ACOG-NE causation framework on HIE cases, and recognizes specialty-specific medical terms (NICHD, McRoberts, suprapubic, Zavanelli, brachial plexus, Erb palsy, HIE, base deficit, Pitocin, oxytocin, TOLAC, VBAC, tachysystole) in your witness's voice.

Does it work for defense expert prep too?

Yes. Flip to expert-prep mode and the AI runs as the hostile plaintiff attorney cross-examining your defense MFM or L&D nurse witness. Same 13 failure modes are exactly what you need to patch in pre-depo prep.

What case types should I bring to it?

Any birth-injury case: HIE/CP, shoulder dystocia + brachial-plexus injury, missed Category III EFM, late C-section, Pitocin hyperstimulation, PPH with delayed transfusion, VBAC uterine rupture, macrosomia without informed-consent discussion.

Pricing?

Bundled in MedLegal AI Pro ($49/mo) for 1 user, Professional ($249/mo) for 5 users, or Firm ($499/mo) for 20 users. Free 14-day trial, no credit card. Pay-per-analysis $19/run if you only handle a few birth-injury cases per year.

Start with the 2-minute OB/GYN demo

No signup, no mic. Walk through a sample shoulder-dystocia deposition in your browser. See the cross-exam questions, the HELPERR drilldown, the Bates-cited contradiction detection.

Run the 2-min demo → Start free 14-day trial

Deposing an ob/gyn expert on the other side? See questions to ask an ob/gyn expert witness at deposition.