The effect of malpractice claims on the use of caesarean section

Schifrin, Barry S.; Cohen, Wayne R.

doi:10.1016/j.bpobgyn.2012.10.004

Cited by 42 publications

(32 citation statements)

References 80 publications

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“…16 Another reason people focus on complaints against gynaecologists is their influence on changing attitudes in specific aspects of childbirth, which has led to an unjustified increase in the rate of Caesarean sections and low rates of assisted delivery. 20,21 Recent publications even link this increase to a rise in insurance premiums covering professional liability, 22 which would be justified by the increased number of claims and an increasing trend in the number of high, catastrophic (employing a term coined by other authors) compensation claims. 9,10 This situation could worsen if health-specific projects come to fruition, 14 which may reduce compensation for medical errors relating to sick patients but differentiate those relating to healthy patients, such as mother and foetus, and others within this specialty.…”

Section: Discussionmentioning

confidence: 99%

Estudio de las compensaciones económicas sobre sentencias contra obstetras y ginecólogos en España (1987-2013)

García-Ruiz

Santiago‐Sáez

Albarrán-Juan

et al. 2017

Revista Española de Medicina Legal

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Section: Discussionmentioning

confidence: 99%

Estudio de las compensaciones económicas sobre sentencias contra obstetras y ginecólogos en España (1987-2013)

García-Ruiz

Santiago‐Sáez

Albarrán-Juan

et al. 2017

Revista Española de Medicina Legal

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Section: S Afr J Obstet Gynaecolmentioning

confidence: 99%

“…[4] Other reasons which are thought to contribute to the increasing rate is the increase in obstetric malpractice claims. [5] The Robson Ten Group Classification System (RTGC) is a classification system that may assist with the main determinants of the CS rate.[6] This classification is based on four obstetric concepts which classify women into 10 groups. These groups are mutually exclusive, totally inclusive, clinically relevant and prospectively identifiable.…”

mentioning

confidence: 99%

An evaluation of the indications for caesarean sections at Chris Hani Baragwanath Academic Hospital

Adam

Mwinyoglee²,

Masuku³

et al. 2018

S Afr J OG

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RESEARCH Background.A systematic review concluded that a caesarean section (CS) performed for medical indications will save lives; however, it is associated with short-and long-term complications. The CS rate at Chris Hani Baragwanath Academic Hospital (CHBAH) was 39.78% in 2015. Objectives. To evaluate the indications for CSs at CHBAH. Methods. This was a cross-sectional study conducted on the data collected in the week of 23 June to 29 June 2015. Each file was evaluated for the correctness of the decision by at least two researchers. Each reviewer could state that he/she absolutely agreed, partially agreed, did not agree or could not make an assessment. Results. The mean (standard deviation (SD)) age of the women was 27.01 (6.35) (range 15 -44) years. The median (interquartile range (IQR)) parity was 1 (0 -2) (range 0 -4). No co-morbidities were found in 13.6% (n=20) of the reviewed cases. Complications were found to have occurred in 17% (n=25) of women who gave birth over the week reviewed. The median (IQR) gestational age at delivery was 38.14 (36.39 -40.14) (range 28.0 -42.4) weeks. The median (IQR) Apgar (5 minutes) was 10 (9 -10) (range 0 -10). The median (IQR) birth weight was 3 040 (2 530 -3 440) (range 825 -4 575) g. The most common indications were fetal distress (n=73; 49.66%) and dystocia (n=42; 28.57%). There was absolute agreement between the two reviewers in the following: retained second twin, antepartum haemorrhage (APH) of unknown origin, placenta previa, severe intrauterine growth restriction, multiple pregnancy, abnormal presentation, eclampsia and two previous CSs. When the indication was fetal distress, dystocia, second-stage CS, or one previous CS, the absolute agreement was between 73.85% and 90.24%. Conclusion. There were few absolute disagreements with the indication cited. Methods used to diagnose fetal distress and dystocia must be evaluated. In 2015, the World Health Organization (WHO) statement on caesarean section (CS) rates stated that 'Every effort should be made to provide a caesarean section to women in need, rather than striving to achieve a specific rate' . S Afr J Obstet Gynaecol[1] A CS should be undertaken when it is medically necessary and efforts should focus on providing a CS to all women in need. However, defining a woman 'in need' can only be ascertained by the healthcare providers caring for the woman on a case-by-case basis.While the need for a CS is important in addressing the care for every individual woman, every CS contributes to an increase in the CS rate. WHO used country-level data to show that, at a population level, maternal and neonatal mortality is not reduced any further when the CS rate increases above 10%.[1] Delivery by CS in South Africa (SA) is associated with severe complications and maternal deaths. In the Saving Mothers Report (2011 -2013), the institutional maternal mortality ratio (iMMR) was 66.6/100 000 live births for vaginal delivery v. an iMMR of 185.8/100 000 live births for delivery by CS in SA.[2] While it is difficult to separate the r...

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“…Existen muy pocos trabajos que se hayan acercado a este tema con un interés científico por lo que la información que recibe el profesional puede ser incompleta, pero se considera suficiente para provocar cambios asistenciales 9,10 como por ejemplo el incremento en el número de partos por cesárea 11,12 .…”

Section: Introductionunclassified

Análisis de reclamaciones judiciales contra obstetras y ginecólogos en España. Estudio específico de la vía penal (1987-2013)

García-Ruiz

Santiago‐Sáez

Albarrán-Juan

et al. 2016

Revista Española de Medicina Legal

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The effect of malpractice claims on the use of caesarean section

Cited by 42 publications

References 80 publications

Estudio de las compensaciones económicas sobre sentencias contra obstetras y ginecólogos en España (1987-2013)

Estudio de las compensaciones económicas sobre sentencias contra obstetras y ginecólogos en España (1987-2013)

An evaluation of the indications for caesarean sections at Chris Hani Baragwanath Academic Hospital

Análisis de reclamaciones judiciales contra obstetras y ginecólogos en España. Estudio específico de la vía penal (1987-2013)

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