Kimberly Wallace Goodwin, individually and as the natural parent of Jackson Wallace Goodwin and Jonathon Goodwin, individually and as the parent of Jackson Wallace Goodwin v. Mat-Su Midwifery, Inc., Judi Davidson, and Darcy Lucey, Mat-Su Midwifery, Inc., Judi Davidson, and Darcy Lucey v. Kimberly Wallace Goodwin, Individually and as the Natural Parent of Jackson Wallace Goodwin and Jonathon Goodwin, Individually and as the Parent of Jackson Wallace GoodwinKimberly Wallace Goodwin, individually and as the natural parent of Jackson Wallace Goodwin and Jonathon Goodwin, individually and as the parent of Jackson Wallace Goodwin v. Mat-Su Midwifery, Inc., Judi Davidson, and Darcy Lucey, Mat-Su Midwifery, Inc., Judi Davidson, and Darcy Lucey v. Kimberly Wallace Goodwin, Individually and as the Natural Parent of Jackson Wallace Goodwin and Jonathon Goodwin, Individually and as the Parent of Jackson Wallace Goodwin
Notice: This opinion is subject to correction before publication in the PACIFIC REPORTER. Readers are requested to bring errors to the attention of the Clerk of the Appellate Courts, 303 K Street, Anchorage, Alaska 99501, phone (907) 264-0608, fax (907) 264-0878, email corrections@akcourts.gov.
O P I N I O N
No. 7733 – December 6, 2024
Appearances: Ted Stepovich, Law Office of Ted Stepovich, Anchorage, and Kenneth P. Jacobus,
Before: Maassen, Chief Justice, and Carney, Borghesan, and Pate, Justices. [Henderson, Justice, not participating.]
BORGHESAN, Justice.
I. INTRODUCTION
This appeal arises from a medical malpractice suit. The parents of a stillborn child sued the midwives attending the birth for malpractice. The plaintiffs alleged, among other things, that the midwives failed to obtain informed consent for delivery by midwife at a birth center, instead of delivery by physician at a hospital. The plaintiffs alleged that the midwives did not disclose the risks of midwife delivery for expectant mothers like the plaintiff: a woman of advanced maternal age with a history of miscarriage. The superior court granted summary judgment in favor of the midwives, ruling that the plaintiffs failed to present evidence that midwife delivery caused the child to be stillborn.
The key issue in this appeal concerns the element of proximate cause in informed consent claims. The plaintiffs argue that they presented sufficient evidence of causation to survive summary judgment because they showed they would not have opted for midwife delivery had they been properly informed of the risks. But this evidence was not enough. To prevail on a claim of informed consent, a plaintiff must prove two aspects of proximate cause: first, that the plaintiff would not have consented to the treatment or course of care had the risks been disclosed; and second, that the treatment or course of care caused the plaintiff’s injury. The midwives presented expert opinion indicating that their care did not cause the stillbirth, and the plaintiffs did not meet their burden to present evidence that the midwives’ care did cause the stillbirth. Therefore, we affirm summary judgment in the midwives’ favor. We also affirm the superior court’s award of enhanced attorney’s fees based on the plaintiffs’ vexatious litigation conduct.
II. FACTS AND PROCEEDINGS
A. Facts
Kimberly Wallace Goodwin became pregnant in 2012. She and her husband, Jonathon Goodwin, named the unborn child Jackson. Kimberly was 39 years old at the time of this pregnancy and had previously suffered several miscarriages.
After Kimberly became pregnant, the Goodwins engaged a doctor for obstetrical care. In October 2012 the doctor transferred Kimberly’s care to Mat-Su Midwifery, Inc. (“Midwifery”) for delivery of the child. On November 21, approximately 40 weeks into her pregnancy, Kimberly attended an appointment at the Midwifery. She was cared for by a direct entry midwife, Judi Davidson, and a certified nurse midwife, Darcy Lucey.1 Kimberly expressed concerns in that appointment that she was overdue.2 According to the Goodwins, Davidson and Lucey told Kimberly to return in one week.
Kimberly returned to the clinic on November 28 and was again told to return in one week. She returned on December 3, nearly 42 weeks into her pregnancy. A test was performed, which indicated that the fetus was “reactive.” Kimberly was told to return in two days. She returned on December 5, and then again on December 6 when she was in active labor.
Following the stillbirth, the Goodwins lobbied the legislature to pass a statute creating a cause of action for the wrongful death of an unborn child. Their testimony to the legislature implied that Alaska law did not recognize such an action.
The resulting statute was codified as
B. Proceedings
In December 2014 the Goodwins, “individually and as the parents of Jackson,” filed suit against the Midwifery, Lucey, and Davidson (collectively “the Midwifery”), on claims of negligence and lack of informed consent.6
In February 2017 the Goodwins filed a list identifying their expert witnesses. This list named Dr. Donald Rogers, the forensic pathologist who had performed the autopsy on Jackson. However, by this time Dr. Rogers’ medical license had lapsed. He died in 2019 without ever having been deposed. The Goodwins also named Kathryn Osborne, a certified nurse midwife, as their expert.
In March 2017 the Midwifery moved for summary judgment. It argued that (1) there was no cause of action for the death of an unborn child under the general wrongful death statute,
The superior court denied this motion for summary judgment. The court held that the general wrongful death statute provided the Goodwins with a cause of action.7 And it concluded that the Goodwins’ claims were not barred by quasi-estoppel.
In December 2018 the Midwifery moved to exclude Osborne’s expert testimony, arguing that her experience and knowledge as a certified nurse midwife did not qualify her to testify on the standard of care applicable to Davidson, a direct entry midwife.8 The Goodwins opposed this motion.
The superior court did not immediately rule on this motion. The delay was a result of a trial continuance, granted due to the Goodwins’ divorce, uncertainty regarding whether their counsel could continue with the representation, and questions about Kimberly’s capacity for trial. Due to this delay, the Midwifery moved for costs incurred in preparing for the continued trial. The superior court granted the request in part.
Eventually, in September 2020, the superior court granted the Midwifery’s motion to exclude Osborne as an expert witness. The court concluded that Osborne, “as a certified nurse midwife who has practiced exclusively in hospitals, has an insufficient basis for testifying about the standard of care ordinarily exercised by direct entry midwives.” The court gave the Goodwins until January 2021 to file an updated witness list. The court then extended the deadline to April 2021.
In April 2021 Kimberly provided an affidavit from a new expert on the standard of care, Elizabeth Cook, a certified professional midwife. In the body of Cook’s expert report, she alleged that the Midwifery “failed to meet applicable standards of care” in ten different ways. She opined that the Midwifery’s failure “to meet applicable standards of care . . . contributed to the demise of” Jackson.
The Midwifery deposed Cook. The Midwifery’s counsel questioned Cook on the cause of the stillbirth:
Q. Okay. And you will agree with me in your 15 April 2021 affidavit report you don’t state what medical condition Jackson Goodwin died from?
A. I don’t give a medical diagnosis . . . for the demise. I give contributing factors.
Q. Have you ever made a determination of cause of death on a death certificate?
A. I have not.
Q. And in your practice, would you typically defer to pathologists for determination of causes of death?
A. I would defer to the neonatology experts in collaboration with pathology, potentially in collaboration with obstetrical
experts as to cause of death, but I may contribute . . . events leading to that or contributing factors to a cause of death.
. . .
Q. Are you able to say on a more-likely-than-not basis that any of the deficits that you identified in your report more likely than not caused the fetal demise.
A. What I can say is that, as I pointed out in my report, that failure to provide fully informed consent for shared decision making as to all options for care and current evidence on recommendations for care based on the individual factors of Kimberly Goodwin’s situation, particularly AMA, or advanced maternal age, and post-term or late-term gestation potentially contributed to the demise of this baby . . . . And as I also pointed out, that failure to respond in a timely manner when heart tones dropped in labor also potentially contributed to the death of this baby. And overall, we see significant failure on the part of Mat-Su Midwifery to provide a quality care to this patient.
When pressed, Cook stated that either inadequate record keeping prevented a definitive diagnosis or that a specialist would ultimately need to weigh in on the cause of Jackson’s death.
In January 2022 the Midwifery moved for summary judgment again. The Midwifery submitted an affidavit from its own causation expert, Dr. Judy Melinek, a forensic pathologist. Dr. Melinek concluded that the stillbirth was caused by “intrauterine fetal demise due to chorioamnionitis and funisitis.” Dr. Melinek asserted that this diagnosis meant “that the placenta and umbilical cord supplying blood to the infant were damaged by an infection prior to delivery.” According to Dr. Melinek, “[c]horioamnionitis and funisitis are well-described natural causes for intrauterine fetal demise regardless of type of delivery and type of obstetrical care.” The affidavit concluded that there was no pathologic evidence to support the claim that the midwives’ care and treatment during delivery caused Jackson’s demise.
the Goodwins could not rebut Dr. Melinek’s explanation for the cause of death and therefore failed to establish a dispute of material fact as to whether the Midwifery’s care caused Jackson’s death. The Goodwins did not oppose this motion for summary judgment.
The superior court granted the motion for summary judgment in February 2022. The superior court noted that “whether a plaintiff must present expert testimony on causation depends on the nature of the injury and the plaintiff’s causation theory,” but the Goodwins had “not filed any opposition — and thus no theory of causation or supporting evidence.” The court also observed that Cook had been “retained on the standard of care issue, but not causation.” Thus, the court concluded that it “need not determine whether now at issue is a ‘technical’ or ‘non-technical’ theory of causation” and granted summary judgment. The court requested briefing on whether its ruling on causation disposed of all claims.
The Midwifery filed a motion for final judgment arguing that both the negligence claim and the informed consent claim hinged on causation. Jonathon opposed this motion, asserting that (1) Cook was qualified to testify on causation, and (2) expert testimony is not required to prove causation in an informed consent claim. With respect to the second argument, Jonathon relied on our decision in Poulin v. Zartman to argue that establishing proximate cause in an informed consent claim merely requires evidence that the plaintiff would have declined the procedure or chosen a different course if adequately informed.9 The court entered final judgment against the Goodwins and dismissed all claims.
Jonathon moved for reconsideration. He argued that the superior court failed to consider Cook’s report. The superior court denied reconsideration. It
explained that it had considered Cook’s affidavit and deposition when granting summary judgment, but she had not expressed an opinion on the cause of death. The court also explained that proximate causation is an element of an informed consent cause of action. The court concluded that because “Cook’s affidavit contains no reference to . . . whether . . . failure to inform proximately caused any harm,” summary judgment against the Goodwins was warranted.
The Midwifery moved for enhanced fees under Alaska Civil Rules 82(b)(3) and 95.10 The Midwifery argued that the Goodwins had engaged in “seven years of stop and start litigation,” ignoring deadlines, procedures, and discovery requirements. At oral argument, the Goodwins’ former counsel stated that “from the very beginning . . . there was no case here and that has not changed.” The former counsel added that the Goodwins had difficulty retaining an expert on causation; “it did evolve into a point where getting that expert . . . was close to impossible.”
The court granted the motion and awarded $295,923.61 in fees and $35,653.63 in costs jointly and severally against the Goodwins. The court made several findings: (1) the case was uniquely complicated; (2) the case twice came to the eve of trial, causing the Midwifery to incur trial preparation costs twice; (3) the Midwifery’s attorney’s fees were reasonable; (4) the Midwifery used a reasonable number of attorneys; (5) the Midwifery’s attorney tried to minimize fees; (6) around April 2019 the Goodwins’ responsiveness began to deteriorate and their claims became unreasonable; (7) the Goodwins’ actions after April 21, 2019, were vexatious and in bad faith; and (8) the Midwifery litigated the case in a proper manner while the Goodwins did not, which drove up fees.
attorney’s fees. The Midwifery cross-appeals, arguing that the superior court erred in construing the wrongful death statute and in declining to estop the Goodwins’ arguments related to that statute.11
III. STANDARD OF REVIEW
“We review a grant of summary judgment de novo, applying our independent judgment.”12 “We affirm a grant of summary judgment if there are no genuine issues of material fact and the movant is entitled to judgment as a matter of law.”13 “Whether the evidence presented a genuine issue of material fact is a question of law that we independently review.”14 “When applying the de novo standard of review, we apply our ‘independent judgment to questions of law, adopting the rule of law most persuasive in light of precedent, reason, and policy.’ ”15
“We review the denial of a motion for reconsideration for abuse of discretion.”16 “The abuse of discretion standard asks ‘whether the reasons for the
exercise of discretion are clearly untenable or unreasonable’ and fall outside the boundaries of reasonable responses.”17
We review an award of attorney’s fees for abuse of discretion.18 Abuse of discretion exists if the award is “arbitrary, capricious, manifestly unreasonable, or improperly motivated.”19 “Because an enhanced fee award under Rule 82(b)(3)(G) calls into question a party’s litigation conduct and the potential merits of the party’s arguments and defenses, we assess de novo the legal and factual viability of the party’s claims and review relevant findings of fact for clear error.”20
IV. DISCUSSION
The parties have presented many issues for our consideration on appeal, but the key issue is causation. The superior court ruled that the Goodwins did not present evidence rebutting the Midwifery’s evidence that its conduct did not cause Jackson to be stillborn, so the Goodwins’ negligence and informed consent claims failed. Because we agree with the superior court that the Goodwins needed to present this evidence and did not, we agree with the court’s conclusion that their claims could not survive summary judgment. Therefore, the issues occupying most of the parties’ briefing are beside the point: whether the superior court erred in deciding that the Goodwins’ first expert was not qualified to opine on the applicable standard of care; whether the court correctly interpreted the wrongful death statute prior to the enactment of “Jackson’s Law” to permit recovery
the court should have estopped the Goodwins from arguing that the law permitted their claim for wrongful death when they suggested to the legislature that it did not. However, we do address and affirm the superior court’s award of enhanced attorney’s fees to the Midwifery.
A. The Superior Court Did Not Err In Granting Summary Judgment To The Midwifery Because The Goodwins Did Not Present Evidence That The Midwifery’s Treatment Caused Jackson To Be Stillborn.
An essential element of any tort claim is causation.21 The plaintiff must show that the defendant caused the harm that the plaintiff has suffered.22 The Goodwins do not dispute that their medical malpractice claim requires them to prove that the Midwifery’s negligence caused Jackson to be stillborn.23 But they appear to argue that their informed consent claim requires proving only that, had the Midwifery properly informed them of the risks of midwife delivery, they would not have opted for midwife delivery and would have opted for delivery in a hospital instead. Implicit in this position is the argument that the Midwifery’s failure to obtain informed consent makes the Midwifery liable for any harm that occurred to the mother or child, even if there is no evidence that those harms were caused by having a midwife-assisted delivery. This is not the law.
Rather, establishing causation for an informed consent claim entails two distinct showings. The plaintiff must show that she would not have gotten the treatment or course of care if she had been properly informed of the risk.24 And the plaintiff must
also show that the harm she suffered was actually caused by the treatment or course of care she received.25 The second showing may be referred to as “medical causation.”26
At common law, medical causation is a necessary element of informed consent claims.27 The Alaska statute governing informed consent claims does not mention medical causation, but the text and legislative history of the medical malpractice statutes do not reveal a clear intent to change the common law elements of this tort.28 Therefore, we conclude that under Alaska law, a plaintiff must show medical causation to prevail on a claim of informed consent.
The Goodwins failed to present evidence of medical causation in this case, and this failure is fatal to their claim. “[A] party seeking summary judgment has the initial burden of proving, through admissible evidence, that there are no [genuine] disputed issues of material fact and that the moving party is entitled to judgment as a matter of law.”29 The Midwifery moved for summary judgment, presenting Dr. Melinek’s opinion that the stillbirth was caused by an infection independent of any act or omission by the Midwifery.
Once the Midwifery made this showing, the burden shifted to the Goodwins “to set forth specific facts showing that [they] could produce evidence
reasonably tending to dispute or contradict the movant’s evidence
1. At common law, a claim for failure to obtain informed consent requires the plaintiff to prove that the treatment obtained caused the injury.
At common law, a claim of malpractice based on a lack of informed consent generally required three elements: (1) that the practitioner failed to disclose the risks of and alternatives to a course of treatment when a reasonable practitioner would have; (2) “that a reasonably prudent patient in the same position would not have undergone the treatment if he or she had been fully informed”; and (3) “that the actual
procedure performed for which there was no informed consent was the proximate cause of the injury.”34 As we stated in 1975, before the legislature codified the tort of informed consent in statute, it was a “seemingly undisputed principle that proximate cause must be shown in order to recover for lack of informed consent.”35
Proximate cause can be difficult to define. One treatise observes that “the consequences of an act go forward to eternity, and the causes of an event go back to the dawn of human events, and beyond. But any attempt to impose responsibility upon such a basis would result in indefinite liability for all wrongful acts.”36 Therefore, “[a]s a practical matter, legal responsibility must be limited to those causes which are so closely connected with the result and of such significance that the law is justified in imposing liability.”37 The Restatement (Second) of Torts echoes this sentiment when describing negligence claims generally: “In order to be a legal cause of another’s harm, it is not enough that the harm would not have occurred had the actor not been negligent. . . . The negligence must also be a substantial factor in bringing about the plaintiff’s harm.”38 “If, without the actor’s negligent conduct, the other would have sustained harm, the same in character and extent as that which he receives, the actor’s
conduct . . . is not even its necessary antecedent, and so is not a substantial factor in bringing it about.”39
When the concept of proximate cause is applied to an informed consent claim, it requires
These authorities confirm that medical causation is an essential element of the common law tort of informed consent.
2. Alaska’s informed consent statute does not abrogate the common law element of medical causation.
The Goodwins suggest that Alaska’s informed consent statute,
We applied the informed consent statute in Parker v. Tomera, but did not squarely address the need to present evidence of medical causation.46 In Parker, we partially reversed a grant of summary judgment to the defendants on an informed consent claim.47 We held that the plaintiff’s failure to present expert testimony to support his claim that it was possible for the procedure to have caused his sexual dysfunction was grounds for summary judgment in favor of the defendants as to that injury.48 However, because the defendant’s expert did not offer an opinion about the other symptoms the plaintiff claimed to have suffered, there was “no expert testimony
“injured as a result of the particular treatment” and concluding that plaintiff provided insufficient evidence of such causation); Andersen v. Khanna, 913 N.W.2d 526, 544-48 (Iowa 2018) (recognizing that injury caused by procedure is essential element to informed consent claims).
for [the plaintiff] to rebut” regarding those injuries, so the lack of expert testimony was not a proper basis for summary judgment as to those injuries.49 But while we addressed the sufficiency of an informed consent claim under
“Whether the legislature intended to preserve, eliminate, or otherwise modify [common law rules] is an issue of statutory interpretation.”51 We interpret statutes “according to reason, practicality, and common sense, taking into account the plain meaning and purpose of the law as well as the intent of the drafters.”52 “When we engage in statutory construction, we must, whenever possible, ‘interpret[ ] each part or section of a statute with every other part or section, so as to create a harmonious whole.’ ”53 “[S]tatutes will not be interpreted as changing the common law unless they effect the change with clarity.”54
The informed consent statute was enacted in 1976 as part of a package of medical malpractice reforms suggested by an expert commission convened by Governor Jay Hammond. The Commission had been created to “study and make recommendations concerning the problem of adequate professional liability insurance availability for the medical profession.”55 The Commission published its recommendations and drafted legislation to effectuate them.56 The draft legislation included a provision on informed consent. The legislature ultimately enacted the following statute:
A health care provider is liable for failure to obtain the informed consent of a patient if the claimant establishes by a preponderance of the evidence that the provider has failed to inform the patient of the common risks and reasonable alternatives to the proposed treatment or procedure, and that but for that failure the claimant would not have consented to the proposed treatment or procedure.57
Notably, the statute does not mention injury or damages at all. This silence is in contrast to the general medical malpractice statute,
In a malpractice action based on the negligence or willful misconduct of a health care provider, the plaintiff has the burden of proving by a preponderance of the evidence . . . that, as a proximate result of [the defendant’s] lack of knowledge or skill or the failure to exercise [the applicable] degree of care, the plaintiff suffered injuries that would not have otherwise been incurred.58
The contrast between the way the two statutes discuss causation could be read to suggest that an informed consent claim under
But there is ample reason to doubt that interpretation. Reading
Another indication that the legislature did not intend to abrogate the common law’s medical causation requirement is found in the legislation’s provision for expert advisory panels. The legislature provided for an expert advisory panel to be appointed in malpractice actions, including those for informed consent.60 The panel of
experts must make a written report answering questions primarily relevant to causation, including: “What would have been the probable outcome without medical care?”; “Did an injury arise from the medical care?”; “What specifically caused the medical injury?”; and “Was the medical injury caused by unskillful care?”61 Because the legislature did not exempt informed consent claims from the expert advisory panel statute, we infer that the legislature understood informed consent claims to require a showing of medical causation, notwithstanding the statute’s silence on that point.
The legislative history of
court decides that an expert advisory opinion is not necessary for a decision in the case.” (emphasis added)).
We have explained that the appointment of an expert advisory panel is discretionary. See, e.g., Parker v. Tomera, 89 P.3d 761, 767-68 (Alaska 2004).
In response to this issue, the Commission recommended “a legislatively prescribed procedure for informing the patient of the consequences of a procedure and obtaining the consent to perform it and also setting forth the conditions pursuant to which consent is implied or not required.”64 The Commission drafted legislation effectuating this purpose.65
None of the other legislative history materials suggest an intent to eliminate the medical causation element of the common law tort. Doing so would have been contrary to the overall purpose of the medical malpractice
3. The Goodwins did not present admissible evidence to dispute the opinion of the Midwifery’s expert that the stillbirth was not caused by any act or omission of the Midwifery.
When moving for summary judgment on causation, the Midwifery provided expert testimony from Dr. Melinek concluding that Jackson died from a kind of infection known to cause stillbirth “regardless of type of delivery and type of obstetrical care.” Dr. Melinek opined that there was no pathologic evidence to support
the claim that the midwives’ care and treatment during delivery caused Jackson’s demise. With the Midwifery’s proffer, “the burden shift[ed] to the non-moving party ‘to set forth specific facts showing that [they] could produce evidence reasonably tending to dispute or contradict the movant’s evidence.’ ”67 But the Goodwins did not oppose the Midwifery’s motion for summary judgment and therefore failed to rebut Dr. Melinek’s theory of causation. Nevertheless, the court “extensively consider[ed]” their expert’s affidavit and concluded that she “never expressed an opinion on cause of death.”
The Goodwins argue that the court erred in granting summary judgment in favor of the Midwifery and denying their motion for reconsideration because Cook gave sufficient testimony to rebut Dr. Melinek’s theory of causation. They highlight Cook’s statement that “the care rendered . . . by the [Midwifery] failed to meet applicable standards of care, and thus contributed to the [stillbirth].” This statement did not satisfy the Goodwins’ burden.
As discussed above, tort claims for both negligence and lack of informed consent require the alleged wrongful act or omission to have proximately caused the alleged injury. To show medical causation, the Goodwins had to show that the Midwifery’s treatment was a “substantial factor” in causing Jackson to be stillborn.68
Cook’s affidavit discussed the risks particular to an expectant mother “of advanced maternal age” who “has never previously carried a pregnancy past 20 weeks
gestation” and concluded that “[t]he most significant fetal risk in this situation is stillbirth.” Cook’s affidavit did go on to state that had Kimberly been informed of the risks specific to her situation “it is very possible she would have opted for an induction earlier in her pregnancy, an in-hospital delivery with greater antenatal and intrapartum fetal surveillance, and/or a c[a]esarean delivery.” Accordingly Cook’s affidavit established one aspect of proximate cause: that the Goodwins would have opted for different treatment had they been properly informed of the risks.
But Cook’s statements are not sufficient evidence of medical causation. Nothing in Cook’s testimony rebuts Dr. Melinek’s expert opinion that the stillbirth was caused by an infection unassociated with the conduct of the
The evidence provided by the Goodwin’s earlier expert, Osborne, is similarly lacking. Osborne’s affidavit stated that the Midwifery “failed to meet expected standards of care” in several respects, which “were substantial contributing
factors in the [stillbirth].” But the affidavit did not opine on the medical condition that caused Jackson to stop breathing. It suggested only that some earlier action should have been taken. And at her deposition Osborne stated that she did not know what caused Kimberly’s placenta to stop oxygenating Jackson; when asked whether that sort of analysis was beyond what she was asked to perform for this case, she agreed. Osborne stated she was “curious” about the diagnosis of chorioamnionitis but conceded that this was “not [her] area of expertise.” In discussing evidence relevant to the timing of the injury Jackson suffered, she conceded again that it was “not [her] area of expertise at all.”
Therefore, Osborne’s statements do not dispute Dr. Melinek’s opinion that (1) the cause of Jackson’s death was “that the placenta and umbilical cord supplying blood to the infant were damaged by an infection prior to delivery”; (2) “[chorioamnionitis and funisitis are well-described natural causes for intrauterine fetal demise regardless of type of delivery and type of obstetrical care”; and (3) there is “no pathologic evidence that supports the claim” that the Midwifery “caused the demise of Jackson Goodwin in their care and treatment” of Kimberly during delivery. The Goodwins simply failed to present expert evidence that created a dispute of fact about medical causation.
The Goodwins also argue that expert evidence was unnecessary to establish causation. They suggest that the causal link between the Midwifery’s course of treatment and Jackson’s death can be inferred from the sequence of events described in the record. We disagree.
We explained in Culliton v. Hope Community Resources, Inc. that “expert testimony is not required ‘in non-technical situations where negligence is evident to lay people.’ ”70 But “[i]f the connection between the defendant’s conduct and the plaintiff’s
injury is not readily apparent to a lay person relying on ‘everyday experience,’ the opinion of a medical expert is required to establish this connection.”71
In this case medical expertise is essential to establishing medical causation. Lay people’s ordinary experience does not allow them to reliably decide whether opting for delivery by midwife care, as opposed to hospital care, was a substantial factor in Jackson being stillborn. The Midwifery’s expert, Dr. Melinek, opined that the stillbirth was caused by an infection that damaged “the placenta and umbilical cord supplying blood to the infant.” But it is unknown when this infection began or when it became fatal to Jackson. We do not know whether Jackson would have
Without expert testimony to rebut Dr. Melinek’s opinion that Jackson’s death was caused by an infection and that there was no evidence the Midwifery’s care contributed to his death, the Goodwins could not prove that the Midwifery is liable for the stillbirth under either a negligence or informed consent theory.72 We therefore affirm the superior court’s summary judgment in favor of the Midwifery and its denial of reconsideration.
B. The Superior Court Did Not Abuse Its Discretion In Awarding Enhanced Attorney’s Fees.
The Goodwins challenge the superior court’s award of enhanced costs and fees. “[I]n general, a trial court has broad discretion to award Rule 82 attorney’s fees in amounts exceeding those prescribed by the schedule of the rule, so long as the court specifies in the record its reasons for departing from the schedule.”73 Although “[a] Rule 82(b)(3) award of full fees is manifestly unreasonable absent a finding of bad faith or vexatious conduct,”74 we have previously held that a 75% fee award “does not constitute a ‘substantially full award’ and thus does not require vexatious or bad faith conduct.”75 “[M]ere evasiveness in responding, contentiousness over difficult issues, or delay in completing testimony do not, in themselves, constitute bad faith or vexatious conduct.”76 Instead, “[c]onduct justifying an increased award must be such that the parties are prevented from litigating the action on an equal plane.”77
The superior court awarded enhanced fees under
The court also found that the Goodwins engaged in “vexatious or bad faith” conduct beginning in April 2019 because the Goodwins “knew they no longer could meet their causation burden of proof, yet they hid that for two years as they tried to get ‘something’ for settlement.” The court relied on statements by the Goodwins’ own former attorney.78
This award was not an abuse of discretion. The court calculated the amount of fees by awarding full fees for certain time periods, but the cumulative award itself — 64.5% of reasonable, actual fees — falls below the
The Goodwins also challenge the court’s reliance on
The superior court’s order was adequate. Citing to a specific rule is the “preferred practice,”81 but failure to do so is not always reversible error. The superior court stated that the
i.e., its discussion of factors under
Finally, the Goodwins argue that the superior court erred by awarding the Midwifery the cost of experts who did not testify. They cite
V. CONCLUSION
We AFFIRM the judgement of the superior court.