Retrospective evaluation of the characteristics of obstetric malpractice litigations acquired from expertise reports of a referral university hospital in Turkey.

Autor: Beksac, Mehmet Sinan, Fadiloglu, Erdem, Ozyuncu, Ozgur, Tanacan, Atakan, Orgul, Gokcen, Deren, Ozgur, Ocal, Sebnem Akipek
Předmět:
Zdroj: Obstetrică şi Ginecologie; apr-jun2024, Vol. 72 Issue 2, p62-67, 6p
Abstrakt: Objective. To evaluate the characteristics of obstetric malpractice litigations. Study design. This is a retrospective study of 80 expertise reports written for obstetric medico-legal litigations between 2007 and 2017. Results. We showed that obstetric medico-legal litigations have been increasing recently, like in other countries. In most cases, the primary plaintiffs and defendants were the patients and doctors. Most cases (53.7%) were from private hospitals. Intrapartum events and puerperal events were most common claim subjects (77.5%). Among the peripartum claims, shoulder dystocia, fetal asphyxia and caesarean section related complications were the most common claims, with 14 (17.5%), 12 (15%) and 10 (12.5%) cases, respectively. Diagnosis-related claims were subject of 18 (22.5%) cases, 12 of which were related to prenatal diagnosis. The most common issue was found to be fetal morbidities (47.5%). Maternal and fetal mortality occurred in 10 (12.5%) and 22 (27.5%) cases, respectively. The route of delivery was vaginal, through caesarean section, or operative vaginal in 33, 29 and seven cases, respectively. Twenty-six caesarean sections were urgent. Conclusions. Medico-legal claims have been increasing, like in many other countries. Problems involving prenatal screening/diagnosis, intrapartum processes, urgent caesarean sections and operative vaginal deliveries were highly liable situations. Further legal regulations are needed to provide a more comfortable medico-legal climate for physicians. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index