| Obstetric accidents: the patient's perspective. | |
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MedLine Citation:
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PMID: 2031898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cases from the files of Action for Victims of Medical Accidents which had resulted in stillbirth, perinatal or neonatal death and long term mental or physical handicap were reviewed. In 41 cases there was both a detailed letter from the parents and an independent review by a senior obstetrician. The reviewer's main criticisms were of inadequate fetal heart monitoring, lack of involvement of senior staff and inadequate records. The fetal heart trace was missing in 7 cases and over half of the remaining 34 traces available were misinterpreted or not acted on. In 17 cases junior doctors failed to recognize fetal distress and managed a delivery that they did not have the experience to deal with. In a further 6 cases, senior staff were called but did not come. Records were criticized for being incomplete, illegible or missing. In a few cases unjustified alterations appeared to have been made. Women reported that on some occasions staff ignored their worries, were unsympathetic and gave too little information. Some parents also experienced considerable difficulty in obtaining a clear explanation of the nature and cause of their child's condition. |
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Authors:
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C A Vincent; T Martin; M Ennis |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: British journal of obstetrics and gynaecology Volume: 98 ISSN: 0306-5456 ISO Abbreviation: Br J Obstet Gynaecol Publication Date: 1991 Apr |
Date Detail:
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Created Date: 1991-06-27 Completed Date: 1991-06-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7503752 Medline TA: Br J Obstet Gynaecol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 390-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Psychology, University College, London. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Birth Injuries
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etiology* Female Fetal Death / etiology Fetal Monitoring Great Britain / epidemiology Humans Infant Mortality Infant, Newborn Medical Audit / methods* Medical Records Obstetric Labor Complications / therapy* Obstetrics / standards Patient Acceptance of Health Care* Physician-Patient Relations Pregnancy Pregnancy Complications / diagnosis Quality of Health Care |
| Comments/Corrections | |
Comment In:
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Br J Obstet Gynaecol. 1991 Sep;98(9):945-6
[PMID:
1911619
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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