Safeguarding modern midwifery

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Centered on CNM/CM best practice and the liability exposures inherent in contemporary clinical work.

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These articles translate CNM/CM standards, legal doctrine, and hospital culture into actionable guidance so clinicians and counsel can navigate modern liability without sacrificing care.

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Responsible CNM/CM care and informed legal strategy demand clarity on designations, standards, and how hospital expectations shift from unit to unit.

We outline how negative assumptions, corporate metrics, and knowledge gaps erode public trust and distort courtroom narratives.

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Content focuses on CNM/CM hospital work—where role creep, policy churn, and inconsistent onboarding create hidden exposure.

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  • CNMs/CMs reconciling bedside realities with evolving standards of care.
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January 9, 2025

Frivolous Lawsuits

Updated January 12, 2026

n be damaging to the attorneys who file them.  In the U.S. Tax Court, frivolous arguments can result in penalties up to $25,000.  Occasionally, frivolous lawsuits advance through the court system, and the most successful frivolous claims are those filed without an attorney involved. In these cases, the individuals arguing their positions have no idea what they are doing, and their arguments are totally incompetent.

       Journalists, politicians, and healthcare providers like to use the term “frivolous lawsuits, but judges typically avoid the term when ruling on motions, claims, or arguments that lack justification or merit.  In many States, a court can award attorneys’ fees when a party has brought a lawsuit that is deemed frivolous. 4

Frivolous Claims Harm the Economy     

  Frivolous lawsuits in the U.S. tort system are considered harmful to the overall economy, although most tort lawsuits are legally justifiable.  A statistic from 2009 revealed that approximately $250 billion was spent on tort lawsuits. 5 Frivolous lawsuits are predictably flawed and outrageous.  As ridiculous as they are, they consume valuable court time and resources.  On the positive side, some of these cases are published for their humor value.

Andre Mouton                    unsplash-image
Photo by Andre Mouton

Frivolity At Its Best        

A photographer filed a lawsuit on behalf of a monkey. It had taken a “selfie” using the photographer’s camera.  PETA thought the monkey should enjoy copyright protection and sued. . . . In another case, a woman sued a weather station for $ 1,000, claiming a faulty forecast led to her catching a cold.  The filing plaintiff failed to dress for cool weather because the weather professionals predicted warm temperatures.  She ended up with influenza, missed days of work, and required several medications.

Eric Nopanon                  unsplash-image
Photo by Eric Nopanon

          There are many accounts of frivolous filings, and I cannot resist one more:  A man visited a gentlemen’s club in 1996.  He sued the club, claiming that a topless dancer had caused him to suffer “whiplash. In his claim, he described parts of the dancer’s anatomy as “cement blocks” which caused him “physical pain and mental anguish.  He requested $15,000. in damages, which the judge ultimately denied. 6

Frivolous lawsuits do occur, describing insignificant accidents in strange places, but we may hear about them more often, due to a widely-known case that began as a “frivolous filing.

Hot Coffee At McDonald’s

A 79-year-old woman named Stella Liebeck sued McDonald’s in 1992. At the drive-in window, Ms. Liebeck ordered hot coffee to go. She accidentally spilled the coffee into her lap, which resulted in third-degree burns to the pelvic area of her abdomen. She was hospitalized for more than a week while she received skin grafting. She required medical/surgical follow-up for over two years. Ms. Liebeck sued McDonald’s for $20,000 for reimbursement of her medical expenses and lost income. McDonald’s offered to pay $800. As a result of negative publicity created by McDonald’s, public opinion was overwhelmingly in their favor: “Coffee is supposed to be hot!” This was an accident and a prime example of a “frivolous lawsuit. However, the case proceeded to trial, and discovery revealed pertinent information in Ms. Liebeck’s favor.

McDonald’s operations manual required that franchises keep the temperature of their coffee at 180-190 degrees Fahrenheit. Coffee this hot, if spilled, could cause third-degree burns within a few seconds. McDonald’s was aware of this risk but neglected to warn customers. It was also discovered that McDonald’s had already received over 700 complaints that the coffee was too hot. Ultimately, Ms. Liebeck was awarded 2.86 million dollars by a jury. Should this lawsuit be considered “frivolous”? Some believed, yes, while others considered it a legitimate and meaningful lawsuit that held a corporation responsible for a serious act of negligence. 7

Ashek Angell                         unsplash-image
Photo by Ashek Angell on Unsplash

How Prevalent Are Frivolous Lawsuits?

Most personal injury attorneys cannot afford to take on an idiotic case. Occasionally, inexperienced attorneys might file a case with no legal merit.  Sometimes, the filing is just a mistake, one they will ultimately pay for.  Probably the worst thing lawyers may do is fail to understand their case. 

Plaintiffs’ attorneys will usually take medical malpractice cases on contingency.  They will advance huge sums of money to develop, file, and prosecute the case. And they’re going to want this money back, including their “attorneys’” fees and costs.  Very few reasonable attorneys are going to gamble on a case that they know is worthless. Medical negligence lawsuits, in particular, are rarely filed without thorough investigation and preparation beforehand.

      Obstetrical negligence cases are complicated and time-intensive.  It is risky and counterproductive for trial lawyers to file “frivolous” claims intentionally. The costs of litigating an injured-baby case can amount to hundreds of thousands of dollars.  If the Plaintiffs’ case does not settle or loses at trial, not only do the injured parties fail to collect any money on their claims, but the attorneys representing them can never recover the money spent on the case.  In addition, the prevailing parties (defendants) may request that the court award their fees and costs to the losing party.

          Clearly, a contingency fee agreement entails significant financial risk for the attorney and law firm representing the injured party.  An awareness of this risk obligates filing attorneys to carefully review and investigate the case, long before any decisions are made to file specific claims. (See Certificate of Review).

1 https://collins dictionary.com https:// www.britanica. com https:// dictionary.cambridge.org

2 Livingston v. Adirondack Beverage Co., 141 F.3d 434,438 (2d Cir. 1998)

3 Nietze v. Williams, 490 U.S. 319, 325 (1989)

4 [1] Any civil action of any nature commenced or approved in any court of record in this State, the court shall award . . . reasonable attorneys’ fees against any attorney or party who has brought or defended a civil action, either in whole or in part, that the court determines lacked substantial justification. Colorado Law (https:// law.justicia.com/codes/Colorado/2016/title-13/costs/article-17/part-1 section 13-17-102/).

5 (https://www.inside counsel.com?2011/07/22/frivolous-lawsuits-clogging-us-courts-stalling-eco.)

6 Litera Blog. The World’s Most Frivolous Lawsuits As Of 2024. March 24, 2024.

7 Litera Blog. The World’s 5 Most Frivolous Lawsuits as of 2024. Anthem Injury Lawyers. Famous Frivolous Lawsuit Cases. 2024.



  Relevance to Practice

Situation:

Romerio Rogues             unsplash-image
Photo by Romerio Rogues on Unsplash

Claims have been filed against you in District Court, alleging midwifery malpractice.  Your patient claims that following delivery, you failed to recognize the extent of a perineal laceration, which you had diagnosed as a first-degree tear, not requiring repair.   Once home, the patient noted that something did not feel right.  When she called you with symptoms of heaviness in her perineum, you reassured her that her symptoms were normal. Although the patient requested to be seen as soon as possible, she was scheduled for an appointment in 6 weeks and advised that her perineum would be examined at that time. Before her scheduled appointment, her symptoms worsened and she sought a second opinion with another midwife who diagnosed unrepaired third and partial fourth degree perineal tears. The patient has had to undergo extensive debridement and surgical repair with the added diagnosis of rectal-vaginal fistula formation. Claims against you include midwifery negligence, pain and suffering, loss of consortium, and significant economic and non-economic damages. (This is a claim with merit, despite defendant’s assertion that it was “frivolous”.)

Vulnerability:

Claims for malpractice can occur anytime in the course of your career, sometimes more than once. Although obstetricians are sued more often than most other specialties in medicine, as a maternal healthcare provider, the nature of your practice can, unfortunately, involve damages and injuries to two individuals stemming from one event; labor and delivery.  Midwifery malpractice frequently includes consulting or, in certain States, formally collaborating with physicians. It is also important for you to realize that so-called “frivolous claims” of malpractice do not actually occur with any frequency. Constructing a malpractice claim against multiple care providers is expensive. Plaintiffs’ counsel may finance a case “on contingency” in exchange for a percentage of any money awarded to a plaintiff by a jury. Most trial lawyers will carefully evaluate potential cases and seek the opinions/certifications of expert witnesses prior to filing. If attorneys representing plaintiffs happen to lose at trial, all the money invested in the case is lost. Unless a case appears rock-solid prior to trial, very few attorneys would risk a significant financial loss on a case that lacked merit.

Responsibility/Duty:

As a care provider, you nearly always have a duty to your patient. Rarely, a judge may decide that you have no duty, but unless there is only a remote connection between you and the injured patient, duty is implicit in the midwife-patient relationship. Although it will be a continuing theme throughout these articles, fulfilling your responsibility to your patients will usually protect you from legal harm. Adherence to midwifery standards of practice, core competencies, and ethical behaviors will almost always be protective.

Considerations:

Resist any attempts to identify you (CNM/CM) as a “mid-level”. This widely disseminated label is not benign.  Describing a clinician in this manner comes with negative implications which could be detrimental or prejudicial in a legal case.  Powerful entities have allowed this designation to become mainstream. It is a lie and destructive to the professional profile of midwifery and the integrity of practice.

http://www.midwivesontrial.com