Intrapartum care and substandard care: juridical recommendations to reduce the risk of liability

Eggermont, Marlies

doi:10.1007/s00404-014-3612-y

Cited by 5 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, some obstetricians expressed concern that they bore a greater level of responsibility than the collaborating midwife in the event of an adverse outcome. Prior studies on malpractice lawsuits show that both midwives and obstetricians can be held liable with the degree of liability dependent on the clinical scenario 30,31 . Studies assessing liability assignments in malpractice lawsuits involving various forms of collaborative practices are needed.…”

Section: Discussionmentioning

confidence: 99%

How to Foster Effective Midwife–Obstetrician Collaboration on Labor and Birth Units: Qualitative Analysis of Experiences of Clinicians in the United States

Adeyemo

Morelli

Kennedy

2022

J Midwife Womens Health

View full text Add to dashboard Cite

Introduction: Effective collaboration between midwives and obstetricians on labor and birth units in hospitals has been shown to improve birth outcomes and quality of care. Guidelines for collaborative care in the United States exist; however, studies describing the actual lived experiences of midwives and obstetricians in collaborative practice are lacking. The goal of this study was to explore the experiences and perspectives of midwives and obstetricians working in collaborative practices on labor and birth units across the United States and to identify strategies that foster effective collaboration between them. Methods:We performed qualitative analyses of open-ended comments obtained in an instrument validation survey assessing collaboration between midwives and obstetricians on labor and birth in the United States. Certified nurse-midwives, certified midwives, attending general obstetricians, maternal-fetal medicine attending physicians, and fellows across the United States were included in this study, herein called midwives and obstetricians. The final sample in the original validation survey included 232 midwives and 471 obstetricians (n = 703). Of these, 79 midwives and 132 obstetricians (n = 211) provided narrative comments on their perspectives and experiences with collaborative practice on labor and birth units in the United States. The narrative comments were analyzed using inductive techniques derived from grounded theory.Results: Four themes around how to foster effective collaboration were identified: (1) developing trust and respect, (2) promoting effective communication, (3) individual variability and need for clear guidelines, and (4) balancing autonomy. The midwives and obstetricians shared lived experiences that they perceived affected their work satisfaction and clinical outcomes in collaborative practices.Discussion: These findings hold potential to inform clinicians and health care leaders on ways to foster effective collaboration between midwives and obstetricians on labor and birth units. This in turn can improve quality of care for birthing persons, perinatal outcomes and clinician job satisfaction.

show abstract

Section: Discussionmentioning

confidence: 99%