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  5. Understanding HIE and neonatal cooling treatment

Understanding HIE and neonatal cooling treatment

On Behalf of Hofeld and Schaffner | Sep 22, 2025 | Birth Injuries

There is nothing more exciting than welcoming your baby into the world. But what happens if something goes wrong during delivery? What if your doctor tells you that your baby is not getting enough oxygen and will need treatment? This condition, called Hypoxic-Ischemic Encephalopathy (HIE), can cause lasting brain damage if not treated right away.

Complications during pregnancy or delivery, such as umbilical cord problems, placental issues, prolonged labor and delayed emergency care are the most common causes of HIE. Currently, one of the most effective treatments is neonatal (first 28 days of life) cooling or therapeutic hypothermia. This protects the brain if given within the first six hours after birth.

How does neonatal cooling work?

The treatment includes lowering your baby’s body temperature for about 72 hours. Cooling slows down brain activity, allowing it to recuperate while reducing the risk of permanent injury. A highly trained medical team is necessary because the process is delicate and requires round-the-clock monitoring.

When things go wrong

There are many cases where medical negligence is the culprit for HIE, and nothing can undo it. But if your doctors do not recommend cooling therapy in time, or administer it incorrectly, there is a chance your baby could face lifelong and irreversible consequences.

What every parent needs to know

It is devastating to receive this news as a parent. But understanding the condition can make a huge difference. Here are some of the most crucial things you need to know about it:

  • Timing is critical: Cooling therapy is only likely to work if started within six hours of birth. Any later and the treatment may not make much difference to the outcome.
  • Consent matters: The procedure requires parental consent. Make sure your doctors explain everything to you before you sign any documents.
  • Errors have consequences: Doctors who cause HIE through mistakes, or who fail to give cooling therapy correctly and on time can be held liable for medical malpractice.

Make sure you document everything in case you need to hold the provider accountable for any medical expenses, therapy or long-term care needs.

Stand up for your baby’s care

No parent expects to face these challenges at birth, but knowing how neonatal cooling should work — and what happens when it doesn’t — can help you protect your child’s future. If you believe that your Illinois providers have been negligent, seek legal guidance. You have done your best to give your baby the best while in your womb, they should also get the best care once they are born.

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