# Birth Injury Record Review > Birth injury record review: the labor course, monitoring record, cord gases and neonatal chart merged into one page-cited delivery timeline. Canonical page: https://medrecords.ai/solutions/birth-injury-record-review/ --- New — **Missing Records Detection:** flags every visit, provider, and date missing from the file. [See how →](https://medrecords.ai/product/missing-records-identification/) [Home](https://medrecords.ai/) ›[Solutions](https://medrecords.ai/solutions/) › — Birth Injury Record Review BIRTH INJURY RECORD REVIEW ## The labor record is a timeline. Most reviews never build it as one. Birth injury record review services reconstruct the labor and delivery timeline a claim turns on: the monitoring record, nursing entries, orders, the decision to delivery interval, cord blood gases and the neonatal course, each placed in sequence and cited to its page. Clinical opinions stay with your experts. [Test a file ](https://medrecords.ai/test-a-file/?src=birth-injury-record-review) [Book a demo](https://medrecords.ai/demo/) Click any row → the source page it cites Labor chronology · Case #IME-4812 documented Adams, Timothy · birth injury file 342 pp / 2 packets received logged 11 duplicate pages removed free p.140 — wrong patient quarantined Pages 342 Documents 27 Cited 100% ### The obstetric criteria are published. So are the experts who apply them. We do not build for a case type until we can name the standard that defines a correct output and the person who grades the file against it. In birth injury litigation, both are already published. The standard and the referee The rulebook - The American College of Obstetricians and Gynecologists and American Academy of Pediatrics report Neonatal Encephalopathy and Neurologic Outcome, second edition, which sets out the criteria for attributing encephalopathy to an intrapartum event - The ACOG practice bulletins adopting the NICHD three-tier fetal heart rate classification and defining category interpretation and management - The neonatal resuscitation and cord blood gas documentation the delivering hospital’s own policy requires - The state birth-injury compensation program where one exists, such as Florida’s NICA plan under Chapter 766 or the Virginia Birth-Related Neurological Injury Compensation Program The referee - The retained maternal-fetal medicine and neonatology experts on both sides, who read the same strip and the same gases - The trial court at a Rule 702 hearing on intrapartum causation - The state birth-injury program’s administrative panel, where the claim is routed there instead of to a jury A decision-to-delivery interval nobody reconstructed until the deposition From 10¢ to as low as 5¢/page here, duplicates free Labor chronology · Case #IME-4812 cited 100% Packet — 342 pp / 2 packets · 11 deduplicated — logged Labor course — Orders, nursing entries and exams in sequence — cited Cord gases and Apgars — Carried verbatim with their times — cited Timing conflicts — Where entries disagree on when something happened — flagged Chronology delivered · cited 100% · no strip interpretation How it works ### 3 steps between the delivery record and the expert. 01 #### Send the maternal and neonatal records Prenatal care, the labor and delivery chart, monitoring documentation, orders, operative notes, the newborn record and the NICU course, in any format. 02 #### We return the chronology, page-cited One timeline across maternal and neonatal charts, with the documented times, the gases, the Apgars, and every place two entries disagree on timing. 03 #### Your experts read the strip Category interpretation, standard of care and causation are theirs. The chronology is the agreed sequence they work from. The boundary, in writing ### A reconstructed timeline, not an obstetric opinion. We sequence and cite what the maternal and neonatal records document. We do not interpret fetal heart rate tracings, assign a NICHD category, opine on whether delivery should have happened sooner, or state that an injury was intrapartum in origin. Those are expert opinions offered under Rule 702. In the demo case, page 140 turned out to belong to a different patient. In a birth file, a misfiled page can move an entry between mother and newborn, so it is quarantined on its own line. Audit trail · Case #IME-4812 exportable 08:12 — Packet received · 342 pp / 2 packets — system 08:31 — 11 pages deduplicated — system 08:44 — p.140 flagged — wrong patient — system 08:54 — Labor chronology complete · chronology delivered · cited 100% — system 09:20 — Labor chronology reviewed · citations verified — reviewer 09:26 — Labor chronology exported · expert packet assembled by counsel — reviewer Every access logged · file deleted 30 days after delivery Why Medrecords AI ### The rules the platform never breaks. EVERY LINE CITED CASE #IME-4812 · ADAMS, T. 342 pp 2/14 — ER visit, right knee p.4 4/18 — arthroscopic surgery p.61 p.140 — wrong patient quarantined Medrecords AI Read every page · cite every line #### HIPAA, under a signed BAA Every file is handled under our Business Associate Agreement, from the first byte. #### Never trains a model Your records are never used to train any AI model — ours or anyone else's. #### Every line cited If we can't cite it, we don't say it. Every sentence links to its source page. #### Deleted after delivery Files are deleted 30 days after delivery, with a full audit log of every access. Powered by the platform ### 7 capabilities behind every labor chronology. The labor chronology is one deliverable of the same platform that reads, sorts, and cites the whole record. [ #### Medical Records OCR Every page read in full across two charts, including handwritten nursing notes and the annotations on the monitoring record. IN ACTION · 342 pp / 2 packets, read in full ](https://medrecords.ai/product/ocr/) [ #### Medical Chronology Maternal and neonatal entries merge into one timeline, so the sequence around delivery is visible rather than reconstructed by hand. IN ACTION · admission → NICU course, one timeline ](https://medrecords.ai/product/chronology/) [ #### Verifiable AI Citations Times are carried as charted, including the ones that contradict each other, each with its page. IN ACTION · timeline → cited 100% ](https://medrecords.ai/product/citations/) [ #### Medical Summary Reports It exports into the expert review packet or the trial chronology in your format. IN ACTION · chronology → expert packet ](https://medrecords.ai/product/summaries/) [ #### Medical Record Deduplication Forty charts pulled from multiple practices and EHR migrations carry their share of duplicate visit notes. Each is matched and collapsed to one canonical record, so the prescribing pattern is read once per real encounter. IN ACTION · 40 charts → duplicate visit notes collapsed to 1 record each ](https://medrecords.ai/product/medical-record-deduplication/) [ #### Missing Records Identification A prescribing pattern read across 40 charts is only as sound as the file behind it. When a chart references a visit, refill, or referral that never made it into the production, the gap is flagged before the pattern goes to the board. IN ACTION · prescribing pattern cross-checked → gaps flagged before submission ](https://medrecords.ai/product/missing-records-identification/) [ #### Cross-Exam Simulator A board investigator or defense counsel builds a case from the chart abstraction. This tool maps the questioning a physician facing that hearing is likely to face on the gaps and pattern in their own record. A rehearsal tool, not legal advice. IN ACTION · prescribing pattern → likely hearing questions mapped ](https://medrecords.ai/product/cross-exam-simulator/) FAQ ### Birth injury record review, answered. No. Strip interpretation and NICHD category assignment are clinical opinions for a qualified expert. We build the timeline around the strip: the orders, the nursing entries, the exams, the interventions and the times, each cited to its page. We surface the documented times that bear on it, each with its source page, including entries that conflict. Whether an interval was reasonable in the clinical circumstances is a standard-of-care opinion, and it belongs to your expert. The same chronology supports it. Those programs decide eligibility on the documented labor course and neonatal findings, so a page-cited timeline is the exhibit either an administrative panel or a court is reading. No. Medrecords AI does not retrieve records from providers or facilities. You bring the records you already have — review starts in minutes from upload. Retrieval vendors take days; you can keep yours and still cut the review to minutes. ### Send one file. We'll tell you what we can read. No obligation. If the case type is buildable we'll scope it; if it isn't, we'll say so. [Test a file ](https://medrecords.ai/test-a-file/?src=birth-injury-record-review) [Book a demo](https://medrecords.ai/demo/) [See every case type we process →](https://medrecords.ai/solutions/case-types/) ### More solutions - [**400 narratives, one house style, and a submission date.** — Patient narratives for deaths, serious adverse events and discontinuations, drafted to the ICH E3 clinical…](https://medrecords.ai/solutions/csr-patient-narrative-drafting/) - [**45 days to a credible RCA. 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