"What we're saying is if you have a viable fetus — and there's no question in this case that these babies were viable — and a doctor negligently causes their death, that the surviving parents ought to be able to bring a lawsuit," says lawyer Beth Krulewitch, who along with attorney Dan Gerash took over Jeremy's case from Woodruff. To deny the parents that right would open up the very loophole that the wrongful-death law seeks to close, Krulewitch argues.
"The person who was negligent would basically get away with it," she says.
Anthony Camera
Jeremy Stodghill is suing a Cañon City hospital for the wrongful death of his wife and unborn sons.
Jeremy and Lori Stodghill were married in 2001.
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Fremont County District Court Judge David Thorson disagreed. In December 2010, he sided with Catholic Health Initiatives and the doctors, and dismissed Jeremy's lawsuit.
But Thorson noted that no appeals court in Colorado had taken up the issue of whether fetuses are people under the law, leaving it an open question. He also noted that the word "person" isn't defined in the statute. If lawmakers meant it to cover unborn babies, he ruled, they would have said so.
Thorson threw out the lawsuit related to Lori, as well. Based on expert testimony, he decided that the blockage of her arteries was so severe that she probably would have died whether or not the doctors had performed a C-section to save the twins.
Jeremy was crestfallen, and even though he was forced to declare bankruptcy after the doctors and the hospital came after him for $118,969 in legal fees, he decided to appeal.
Nine months later, in August 2011, Jeremy's lawyers filed a brief asking a panel of three appellate judges to reverse the district court ruling. To back their case, they cited several cases from inside and outside Colorado. One of the most important was a 1986 decision by former Colorado Supreme Court justice and then-U.S. District Court judge James Carrigan. Faced with a situation in which a nine-months-pregnant woman was killed by a drunk driver, Carrigan found that the woman's husband could sue the bar that served the driver for the wrongful death of both his wife and unborn son.
The purpose of the wrongful-death law, Carrigan wrote, is to "preserve and protect human life." That includes, he added, "a full-term, viable unborn child's right to be born alive."
The case was heard in federal court because of what's known as diversity jurisdiction, which means that the people involved are citizens of different states or countries. Since the accident happened in Colorado, Carrigan had to interpret Colorado law in making his decision. But federal court decisions aren't binding on future state cases.
Even so, Jeremy's lawyers argued that Carrigan's ruling "provides a thoughtful and persuasive framework." They also pointed out that courts in at least thirty other states have found that a viable fetus is a "person" under their wrongful-death laws, many of which resemble Colorado's law. The Colorado Trial Lawyers Association joined in that argument by filing its own legal brief, writing that "common sense, common decency and the majority of courts" support the conclusion that the law should cover viable unborn babies.
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The hospital and doctors continued to do battle. But there was a dawning realization in their legal briefs that the issue of fetuses-as-people could be a public-relations disaster.
"Whenever the legal system addresses the rights of the unborn, political winds swirl and passionate debate mounts," the hospital's lawyers wrote.
Soon thereafter, the lawyers for Pelner and Staples appear to have switched their tactics, encouraging the court to decide the case based on another reason altogether, which the court is allowed to do: that the OB-GYN expert hired by Jeremy's lawyers "did not know whether a C-section would have saved the fetuses." If it wouldn't have helped anyway, should Jeremy be allowed to sue the doctors and hospital for not performing it?
That's the question the three appellate judges were interested in when lawyers met to argue the case in April 2012. To prove their point, the doctors' lawyers relied on a snippet of testimony taken from the OB-GYN expert's deposition. The expert was questioned about perimortem C-section, or a C-section performed at or near the time of a mother's death. When asked if "overall, to a probability," most babies born by perimortem C-section die, he answered in the affirmative.
But Krulewitch argued that the doctors' lawyers took the expert's answer out of context. He only said yes after he was told to disregard how quickly the procedure is done. If a perimortem C-section is performed within five minutes of a mother going into cardiac arrest, the expert testified, the chances of a baby surviving are good.
Perinatologist Vern Katz, who wrote the first paper on perimortem C-sections in 1986, says the standard about when to do one is clear: Start the procedure within four minutes so that the baby can be delivered within five minutes, before brain damage begins.
"You don't listen to [fetal] heart tones, because you can't really tell," says Katz, a clinical professor at Oregon Health and Science University. That's because when an unborn baby is in distress, its heartbeat can slow dramatically, making it hard to detect, he explains. Plus, he says, the emergency room is often hectic. "There's yelling and screaming and moving the mom around. It's very chaotic, and you can't verify whether heart tones are there.