A midwife in Florida is under scrutiny following accusations of causing permanent harm to a newborn during a home birth by allegedly applying excessive force and neglecting essential safety measures, as detailed in a recent administrative complaint.

The Florida Department of Health has charged Sizzly Maria Auer, who has held a midwifery license since 2010, with professional misconduct, alongside various violations related to recordkeeping and licensing. These charges arise from a November 2021 delivery incident that reportedly resulted in the infant sustaining lifelong injuries.

The complaint outlines that Auer was in charge of the home birth for Victoria Vasser’s baby, Dylan Davis, when complications arose due to shoulder dystocia—a critical condition where the baby’s shoulders become lodged during childbirth.

State officials argue that Auer neglected to utilize established maneuvers designed to safely manage such emergencies and facilitate the infant’s birth with minimal harm.

According to the complaint, instead of employing these techniques, Auer allegedly exerted undue force on Dylan’s head and neck.

The document further elaborates that Auer’s actions were described as “excessive and/or aggressive,” emphasizing that she applied continuous and forceful pressure using both hands in her efforts to complete the delivery.

Investigators also allege Auer instructed Vasser to push during the shoulder dystocia — a move the complaint says can worsen the situation and increase the risk of injury.

“Licensed midwives should not instruct patients to ‘push’ during a shoulder dystocia,” the document says.

The delivery took place in a birthing pool, and the complaint further alleges that after Dylan’s head emerged and he gasped for air, Auer allowed his head to go back underwater — a dangerous scenario that can lead to aspiration.

After multiple attempts in the water, the mother moved to the floor, where the delivery was ultimately completed. But the infant was born with severe injuries.

According to the Department of Health, the child suffered a “right global brachial plexus palsy due to trauma” sustained during birth — a devastating nerve injury affecting the arm. Subsequent surgeries revealed multiple ruptures and avulsions of critical nerves, the most severe type of nerve damage in which the nerve root is torn from the spinal cord.

Despite multiple surgeries and ongoing treatment, the child is expected to have “permanent and severe deficits” in the affected arm for life.

Beyond the delivery itself, state officials allege Auer failed to meet basic professional requirements before, during, and after the birth. The complaint says she did not complete or maintain required informed consent forms or an emergency care plan and failed to properly document the care she provided.

The state also accuses Auer of misrepresenting her licensure status over several years. On multiple license renewal applications, she claimed she was not practicing midwifery in Florida — a designation that would exempt her from carrying liability insurance — despite records showing she was actively seeing patients and performing deliveries.

Between 2017 and 2023, the complaint alleges, Auer failed to provide proof of required professional liability coverage while continuing to practice.

The state is seeking disciplinary action that could include revocation or suspension of her license, fines, probation, or other penalties.

Auer has the right to contest the allegations and request a hearing.

Auer previously lost a $12 million lawsuit to the victim via default judgement because she failed to respond to the complaint or appear for the proceedings, the victim told St. Petersburg, Florida, CBS affiliate WTSP. However, because Auer was not carrying insurance, the victim said she has been unable to collect on the judgment.