Claims about medical malpractices resulting in neonatal and maternal impairment in Iran.
Adult
Brachial Plexus Neuropathies
/ epidemiology
Cerebral Palsy
/ epidemiology
Cross-Sectional Studies
Delivery, Obstetric
/ adverse effects
Down Syndrome
/ epidemiology
Dystocia
/ epidemiology
Female
Foreign Bodies
/ epidemiology
Gynecologic Surgical Procedures
/ adverse effects
Humans
Infant, Newborn
Iran
/ epidemiology
Malpractice
/ statistics & numerical data
Nurse Midwives
/ statistics & numerical data
Obstetrics
Pregnancy
Pregnancy Complications
/ epidemiology
Retrospective Studies
Sampling Studies
Malpractice
Maternal complication
Midwifery
Neonatal complication
Obstetrics
Journal
Journal of forensic and legal medicine
ISSN: 1878-7487
Titre abrégé: J Forensic Leg Med
Pays: England
ID NLM: 101300022
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
14
06
2018
revised:
23
05
2019
accepted:
14
06
2019
pubmed:
21
6
2019
medline:
14
8
2019
entrez:
21
6
2019
Statut:
ppublish
Résumé
Today even low incidence of complications for mothers or neonates during pregnancy, delivery or postpartum is unacceptable to the public and can result in claims because of greater expectation from patients and an increase in media coverage. The present study was conducted to investigate the reasons for medical malpractice claims on maternal and neonatal impairment, which are achieved in Iranian Legal Medicine Organization councils. The present cross-sectional and retrospective study used convenience sampling to collect data of total claims from 31 provinces archived in the supreme council of the ILMO in 2 years. In this article, the medical malpractice claims on maternal and neonatal impairment during pregnancy, labour, delivery and early postpartum were reported. The data were collected through a validated researcher-made checklist and were analyzed in SPSS 16. Among total of 299 cases of impairment, cerebral palsy (33.34%), Erb's palsy due to shoulder dystocia (24.24%) and Down Syndrome (24.24%) were the main confirmed causes of malpractice for neonatal impairment and Retained Surgical Mass (20.5%), Salpingectomy and/or Oophorectomy Related to EP (17.2%), Hysterectomy (17.2%) and Episiotomy Related complication (17.2%) were the main confirmed causes of malpractice for maternal impairment. Considering this fact that medical malpractice was confirmed in a large proportion of some preventable and important complications, therefore, results of this study can be used for developing educational programs for related healthcare providers to prevent those complications.
Sections du résumé
BACKGROUND
BACKGROUND
Today even low incidence of complications for mothers or neonates during pregnancy, delivery or postpartum is unacceptable to the public and can result in claims because of greater expectation from patients and an increase in media coverage. The present study was conducted to investigate the reasons for medical malpractice claims on maternal and neonatal impairment, which are achieved in Iranian Legal Medicine Organization councils.
MATERIALS AND METHODS
METHODS
The present cross-sectional and retrospective study used convenience sampling to collect data of total claims from 31 provinces archived in the supreme council of the ILMO in 2 years. In this article, the medical malpractice claims on maternal and neonatal impairment during pregnancy, labour, delivery and early postpartum were reported. The data were collected through a validated researcher-made checklist and were analyzed in SPSS 16.
RESULTS
RESULTS
Among total of 299 cases of impairment, cerebral palsy (33.34%), Erb's palsy due to shoulder dystocia (24.24%) and Down Syndrome (24.24%) were the main confirmed causes of malpractice for neonatal impairment and Retained Surgical Mass (20.5%), Salpingectomy and/or Oophorectomy Related to EP (17.2%), Hysterectomy (17.2%) and Episiotomy Related complication (17.2%) were the main confirmed causes of malpractice for maternal impairment.
CONCLUSION
CONCLUSIONS
Considering this fact that medical malpractice was confirmed in a large proportion of some preventable and important complications, therefore, results of this study can be used for developing educational programs for related healthcare providers to prevent those complications.
Identifiants
pubmed: 31220788
pii: S1752-928X(18)30327-5
doi: 10.1016/j.jflm.2019.06.008
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
44-49Informations de copyright
Copyright © 2019 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.