Document Detail

Obstetric accidents: the patient's perspective.
MedLine Citation:
PMID:  2031898     Owner:  NLM     Status:  MEDLINE    
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.
C A Vincent; T Martin; M Ennis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  British journal of obstetrics and gynaecology     Volume:  98     ISSN:  0306-5456     ISO Abbreviation:  Br J Obstet Gynaecol     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-06-27     Completed Date:  1991-06-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7503752     Medline TA:  Br J Obstet Gynaecol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  390-5     Citation Subset:  AIM; IM    
Department of Psychology, University College, London.
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MeSH Terms
Birth Injuries / etiology*
Fetal Death / etiology
Fetal Monitoring
Great Britain / epidemiology
Infant Mortality
Infant, Newborn
Medical Audit / methods*
Medical Records
Obstetric Labor Complications / therapy*
Obstetrics / standards
Patient Acceptance of Health Care*
Physician-Patient Relations
Pregnancy Complications / diagnosis
Quality of Health Care
Comment In:
Br J Obstet Gynaecol. 1991 Sep;98(9):945-6   [PMID:  1911619 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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