This page is for families who welcomed a baby at Marian Regional Medical Center, at 1400 East Church Street in Santa Maria, Santa Barbara County, and who now have questions about how the delivery went or about their child's health. Maybe your baby needed the NICU, was slow to reach milestones, or has a diagnosis such as cerebral palsy or a nerve injury in the arm, and you want to know whether it could be connected to the birth. Asking is a normal, reasonable step, and it is not an accusation against anyone.
Marian Regional Medical Center is a private nonprofit hospital that is part of Dignity Health. According to the hospital's 2024 report to the state (HCAI), it cared for 3,099 newborns in its newborn nursery that year, and it has 21 licensed intensive-care newborn beds. Thousands of Central Coast families have started their lives together there. Most births go well. This page explains, in plain words, what birth injuries are, what signs to watch for, and what choices a family has if it wants answers.
We wrote this guide for parents, grandparents and caregivers in Santa Maria, Orcutt, Guadalupe, Lompoc, Nipomo and the surrounding communities. Nothing here says anything about the care given at any hospital. It is general information to help you understand your options, get the records, and decide what to do next. It is not legal or medical advice for your child's situation. Beverly Law offers free case reviews, and you can read this page first and call when you are ready.

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At a glance: Marian Regional Medical Center
| Address | 1400 East Church Street, Santa Maria, CA 93454 |
| County | Santa Barbara County |
| Health system / operator | Dignity Health (CommonSpirit Health) |
| Type of hospital | Private nonprofit hospital |
| Newborns in 2024 | 3,099 (report to the state, HCAI) |
| Licensed NICU beds | 21 |
| NICU level | Level III |
| Main phone | 805-739-3000 |
| Hospital website | dignityhealth.org/central-coast/locations/marianregional |
Sources: HCAI — 2024 Hospital Annual Utilization Report and the hospital’s own website.
Labor and delivery at Marian Regional Medical Center in Santa Maria
Marian Regional's maternity unit is called the Family Birth Center. According to the hospital's own listing, it provides care from pregnancy through delivery and recovery, with private labor, delivery and recovery suites. Services listed include childbirth classes and tours, lactation consultants and breastfeeding support, labor tubs and birthing balls, pain management with anesthesia available 24 hours a day, maternal and fetal medicine for high-risk pregnancies, and an Eat, Sleep, Console program for newborns exposed to substances before birth. The main hospital number is 805-739-3000.
For babies who need extra care, the hospital has a neonatal intensive care unit (NICU). The hospital describes it as a 21-bed Community (Level III) NICU. According to the hospital's 2024 report to the state (HCAI), the NICU had 354 discharges in 2024, and the newborn nursery cared for 3,099 newborns. The hospital is licensed as a private nonprofit corporation and reports Dignity Health as its parent organization.
Marian Regional serves Santa Maria and much of northern Santa Barbara County, along with nearby Central Coast communities. Many families here are farmworkers, service workers and multigenerational households, and many speak Spanish at home. If English is not your first language, you have the right to ask for an interpreter in the hospital and when you request records. You can also ask any provider to explain a diagnosis again, in your own words, as many times as you need.
Birth injuries families ask about after a difficult delivery
A birth injury is harm to a baby (or to the mother) that happens before, during or shortly after delivery. Some are unavoidable, and some happen even when everyone does everything right. The sections below are general medical information from trusted health sources. They are not statements about any specific hospital or delivery.
Hypoxic-ischemic encephalopathy (HIE) is a brain injury caused by too little oxygen and blood flow to the baby's brain. The National Institute of Neurological Disorders and Stroke (NINDS) and Cleveland Clinic describe signs that can include poor feeding, unusual sleepiness or irritability, floppy or stiff muscles and seizures. The main treatment is therapeutic cooling, which lowers the baby's body temperature for about 72 hours and is generally started within the first six hours of life. Cerebral palsy is a group of movement and posture disorders. The Centers for Disease Control and Prevention (CDC) explains that most cerebral palsy is congenital, meaning the brain problem happens before or during birth, but that in many cases the cause is never found and that lack of oxygen during birth explains only a small number of cases.
Erb's palsy and other brachial plexus injuries affect the nerves that run from the neck to the arm. MedlinePlus explains that they happen when the baby's shoulder and neck are stretched during delivery. The baby may not move one arm, and many babies recover in the first months with gentle exercise and therapy, while more serious injuries may need specialist care or surgery. Other conditions families ask about include bleeding in the newborn brain, a fractured collarbone or skull, newborn infections such as group B strep (GBS), severe jaundice, and injuries to the mother such as heavy bleeding (postpartum hemorrhage) or tears. Each has different causes, and a doctor who has seen your child's records is the right person to say what happened.
Warning signs in the first days, weeks and months
In the first days, parents and nurses watch for trouble breathing, a baby who is very limp or very stiff, seizures (jerking, staring, lip smacking or odd bicycling movements), a weak cry, poor feeding or trouble sucking and swallowing, low body temperature, a very yellow color, or a baby who is hard to wake. A baby who needed the NICU, cooling treatment, breathing support or seizure medicine should have follow-up visits arranged. Keep every discharge paper and appointment card.
In the first weeks and months, the CDC lists signs of cerebral palsy in infants under six months such as head lag when picked up, stiffness or floppiness, arching the back and neck, and stiff legs that cross or scissor. After six months, signs include not rolling over, difficulty bringing hands together or to the mouth, and reaching with only one hand. After about ten months, lopsided crawling is another sign. A weak or limp arm, or an arm held close to the body, can point to a nerve injury. A baby who is slower than expected to roll, sit, babble or make eye contact deserves an evaluation.
Many children with these signs do not have a birth injury, and some who do are not diagnosed for months or years. If something worries you, trust that feeling. Tell the pediatrician exactly what you see, write down the dates, and ask for a developmental screening or a referral to a specialist. You do not need to wait for a diagnosis to ask for help through Early Start, described below.
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Who may be responsible in a birth-injury claim?
Many people take part in a delivery, and a claim looks at who made which decisions. Depending on the facts, responsibility may involve the hospital and its nurses and staff, the obstetrician, a midwife, an anesthesiologist, a neonatologist or pediatrician, or a medical group that employs them. Often more than one person or organization is involved, which is why a careful review looks at the whole team and not at one name.
An important question is who employed the clinician. Some doctors are employees of the hospital or a medical group, while others are independent physicians with privileges to work there. Your own obstetrician may have worked from a private office or clinic, even if the baby was born at the hospital. This changes who may be named in a claim, and it is one reason families should not assume that a claim against the hospital is the only option, or that a claim is not possible because the doctor was not a hospital employee.
No one can say in advance whether anyone is responsible. A bad outcome alone does not prove a mistake. What matters is whether the care met the accepted standard and whether a departure from it caused the injury. That is a medical question that a qualified expert answers after reviewing the records. Strict deadlines apply, and different rules may apply to the parents' own claims, so it is wise to ask early, even if you are unsure.
How an independent expert review of a delivery works
The review starts with the complete records of the mother and baby: prenatal care, labor and delivery notes, the fetal heart monitoring strips, orders and medication records, the Apgar scores, cord blood gas results, the baby's NICU notes, imaging such as head ultrasound or MRI, lab results and discharge summaries. Fetal heart monitoring strips show the baby's heart rate and the mother's contractions over time, so an expert can see what was happening minute by minute and when staff were told.
Independent physicians, such as obstetricians, neonatologists and pediatric neurologists, read the records separately from the hospital. They look at the timeline, what was recorded, what was done and when, and what the baby's imaging and tests show about the timing and cause of the injury. Sometimes the answer is that the care was appropriate and the condition was not preventable. That is also useful for a family to know.
If the experts find that a departure from the standard of care likely caused the injury, a nurse consultant or life-care planner can estimate the child's future needs, such as therapy, equipment, home changes and lifetime care. The family decides at each step whether to continue. A review does not mean a lawsuit will be filed, and it costs the family nothing to start with Beverly Law.
What can I do now? A step-by-step plan
First, take care of your child. Keep going to pediatric, neurology, therapy and NICU follow-up visits, and follow your doctors' advice. Then gather what you have: discharge papers, bracelets, photos, a diary of dates and symptoms, insurance cards, bills and the names of the clinics that have seen your child. Do not post details about the delivery or your child's condition on social media.
Second, ask for the records. You can request your baby's chart and your own labor and delivery chart from the hospital's Health Information Management department, and the prenatal and pediatric charts from each clinic. Ask for the fetal monitoring strips and the NICU notes by name, because they are not always included in a short copy. Third, call a birth-injury lawyer early. California has strict deadlines, a written notice requirement before a medical malpractice suit, and a separate six-month claim if a public hospital is involved, and the clock can run out while a family is focused on its child's care.
Fourth, decide with the facts in hand. After the review you can choose to move forward, to wait, or to close the matter. Fifth, keep planning for your child's care and school needs no matter what happens with the legal question, because these supports do not depend on a claim.
Support for your child while the case is reviewed
Children with birth injuries often benefit from early physical, occupational and speech therapy, from pediatric specialists and from equipment. Starting early matters, because the CDC notes that early treatment can improve quality of life and that a parent does not need a doctor's referral to contact the state's early-intervention program. Ask your pediatrician about therapy referrals, and ask the NICU social worker or discharge planner what follow-up programs were arranged.
For babies and toddlers under three, Early Start is the state's program, and in Santa Maria it runs through Tri-Counties Regional Center. For children with certain medical conditions, California Children's Services (CCS), run through the Department of Health Care Services, helps with specialty care up to age 21, and Medi-Cal may help with coverage. The CCS website says eligibility depends on a CCS-eligible medical condition and financial rules, and that families should contact the local county CCS office.
These programs exist whether or not a legal claim is ever filed, and nothing here is a promise of any result. Beverly Law can help you find the right office and keep your child's paperwork organized while the review goes on.
Deadlines for a birth-injury case in California
California gives a child’s birth-injury case its own deadline. Under Code of Civil Procedure § 340.5, a minor must sue within three years of the wrongful act, but a child who was under six when it happened has until his or her eighth birthday if that is longer. For a baby hurt during labor or delivery, that usually means the eighth birthday. The clock runs from the act itself, not from the day the family learned what went wrong, and it is paused only in narrow cases of fraud or collusion. Parents’ own claims, and claims against a public hospital, can have much shorter deadlines, so it is safer to get advice early.
Before a medical malpractice lawsuit can be filed in California, the doctor or hospital must get written warning. Under Code of Civil Procedure § 364, the health care provider must receive at least 90 days’ notice of the intention to sue. No special form is required, but the notice must state the legal basis of the claim, the type of loss and the specific injuries suffered. Under § 364(d), if the notice is served within the last 90 days of the filing deadline, the deadline is extended 90 days from the date of service. The notice is a required step, and it is often the moment a case moves from questions to formal action.
What MICRA caps — and what it does not
California’s MICRA law limits one part of a medical malpractice recovery. Under Civil Code § 3333.2, as amended by AB 35, non-economic damages (pain, suffering, loss of enjoyment of life) are capped. In 2026 the cap is $470,000 for injury and $650,000 for wrongful death, and it rises every January 1 ($40,000 and $50,000 a year until 2033, then 2% a year). Separate caps can apply to doctors, hospitals and unaffiliated providers. Economic damages are not capped: lifetime medical care, therapy, equipment, home modifications and lost earning capacity can be recovered in full, and in a birth-injury case they are usually the largest part of the claim.
How to get the delivery records from Marian Regional Medical Center
California law gives families a right to these records. Under Health and Safety Code § 123110, a patient or the patient’s personal representative — for a baby, a parent or guardian (§ 123105) — may inspect the records within five working days of a written request and is entitled to a paper or electronic copy, which the provider must send within 15 days after receiving a request that says which records are wanted. For a birth-injury review, ask for both charts: the mother’s labor and delivery record, including the fetal heart rate monitoring strips, and the baby’s newborn and NICU record.
To get records from Marian Regional Medical Center, contact its Health Information Management (HIM) department at 1400 East Church Street, Santa Maria, CA 93454. According to Dignity Health's Central Coast medical records page, you complete a Patient Access Request Form (available in English and Spanish) for your own or your child's records, or an Authorization to Disclose form to send them to someone else, and you submit it by mail, fax or in person. HIM lists a phone number of 805-739-3300 and a fax of 805-739-3069. Ask specifically for the labor and delivery chart, the fetal monitoring strips, the NICU records and the newborn nursery chart. Parents may request a baby's records as the child's representative.
The hospital’s medical records page →
Where a case from Santa Maria would be filed
A birth-injury case from Marian Regional Medical Center would usually be filed in the Superior Court of California, County of Santa Barbara. Civil cases are heard at the Santa Maria Cook Division, 312 East Cook Street, Building E (mailing address 312-C East Cook Street), Santa Maria, CA 93454. The court's page lists civil cases among the matters handled there, a phone number of (805) 614-6414, and building hours of Monday to Friday, 8:00 a.m. to 3:00 p.m. Where a particular case is filed can depend on where the defendants are located and on court rules, so a lawyer will confirm it.
Superior Court of California, County of Santa Barbara – Santa Maria, Cook Division (civil) → — 312 East Cook Street, Building E (mailing address 312-C East Cook Street), Santa Maria, CA 93454
Help for your child now: Early Start in Santa Barbara County
Early Start is California's early-intervention program for babies and toddlers from birth to age 3 who have a developmental delay or a condition that may cause one. Families in Santa Maria can reach it through Tri-Counties Regional Center (TCRC), the regional center that serves Santa Barbara County, by calling the Santa Maria office at (805) 922-4640. TCRC's website says anyone can refer a child, you may refer at any time, and you do not need to wait for a diagnosis. Ask for an Early Start evaluation, and say if your baby was in the NICU or has trouble moving, feeding or reaching milestones.
Tri-Counties Regional Center (Santa Maria office) →
Key facts
- According to the hospital's 2024 report to the state (HCAI), Marian Regional Medical Center cared for 3,099 newborns in its newborn nursery and had 21 licensed NICU beds.
- Marian Regional Medical Center is a private nonprofit hospital in Santa Maria that reports Dignity Health as its parent organization.
- The CDC says most cerebral palsy begins before or during birth, but in many cases the cause is never found.
- California has strict deadlines for birth-injury claims, and claims against public hospitals can have much shorter ones, so it is safer to ask early.
- You can ask Marian Regional's Health Information Management department for your baby's chart, including the fetal monitoring strips and NICU notes, and a review by Beverly Law costs the family nothing to start.
Questions parents ask
Can I file a birth-injury claim related to a delivery at Marian Regional Medical Center?
Families can ask whether a birth injury may be connected to the care they received, at any hospital. Whether a claim is possible depends on the medical records and on what an independent expert finds, not on the hospital's name. A free review can tell you whether there is a reason to go further.
How long do I have to file a birth-injury claim?
California gives a child's birth-injury case its own deadline under Code of Civil Procedure section 340.5. For a baby hurt during labor or delivery, that usually means the child's eighth birthday, and the clock runs from the act itself, not from when the family learned about it. Parents' own claims can have much shorter deadlines, so it is safer to get advice early.
Is Marian Regional Medical Center a public hospital?
No. It is a private nonprofit hospital, and it reports Dignity Health as its parent organization. County and University of California hospitals are public, and a different six-month claim rule applies to them. Even so, deadlines are strict, so do not wait.
What if my doctor did not work for the hospital?
Many obstetricians and other doctors are independent physicians or work for a medical group and not for the hospital. That does not mean there is no claim. It changes who may be named, and a lawyer can sort out who employed whom after reviewing the records.
How do I get my fetal monitoring strips from Marian Regional Medical Center?
Contact the Health Information Management department at 1400 East Church Street, Santa Maria, CA 93454 (phone 805-739-3300, fax 805-739-3069) and complete the Patient Access Request Form. Ask for the labor and delivery chart, the fetal monitoring strips and the NICU notes by name. California law gives parents a right to these records, and Beverly Law can help you with the request.
Does it cost anything to talk to a lawyer?
No. Talking to Beverly Law about a possible birth-injury case and having your records reviewed costs you nothing. Birth-injury cases are generally handled on a contingency basis, meaning no fee unless there is a recovery, and we explain the terms in writing before you decide anything.
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Related pages
Cerebral Palsy · Erb’s Palsy / Brachial Plexus Injury · HIE / Oxygen Deprivation at Birth · Statute of Limitations · MICRA Damages Cap · All California hospitals · California birth injury lawyers · Birth injury guides
Sources
- HCAI — 2024 Hospital Annual Utilization Report (final, October 2025)
- Family Birth Center – Dignity Health – Marian Regional Medical Center (CommonSpirit) — Labor and delivery suites, services, NICU and phone numbers at the hospital
- Marian Regional NICU graduates celebrated (CommonSpirit) — The hospital's description of its 21-bed Community (Level III) NICU
- Dignity Health Central Coast medical records (CommonSpirit) — Health Information Management address, phone, fax and request forms
- Superior Court of California, County of Santa Barbara – Santa Maria Cook Division — Courthouse address, phone, hours and civil case types
- Tri-Counties Regional Center – Early Start — Early Start for children from birth to 36 months, anyone may refer, Santa Maria office phone
- CDC – About Cerebral Palsy — Causes, early signs of cerebral palsy, and early intervention without a doctor's referral
- NINDS – Hypoxic Ischemic Encephalopathy — What HIE is and how it is treated
- Cleveland Clinic – Hypoxic-Ischemic Encephalopathy (HIE) — Symptoms of HIE in newborns and cooling treatment
- MedlinePlus – Brachial plexus injury in newborns — Erb's palsy and brachial plexus injury causes and recovery
- DHCS – California Children's Services — CCS eligibility and how to contact the county office
- Code of Civil Procedure § 340.5
- Code of Civil Procedure § 364
- Civil Code § 3333.2 (as amended by AB 35, 2022)
- Health and Safety Code § 123110 (patient access to records)
Beverly Law is an independent law firm. We are not affiliated with, endorsed by or speaking for Marian Regional Medical Center or Dignity Health (CommonSpirit Health). Hospital facts on this page come from the public sources listed above.
Important: This page is general information about birth injuries and California law, not legal advice, and reading it does not create an attorney-client relationship with Beverly Law. Every case is different — talk to a lawyer about your own situation. Attorney advertising. Prior results do not guarantee a similar outcome. No fees or costs unless we win. Last reviewed: 2026-09-18.


