Assessment
Questionnaire

Have a symptom?
See what questions
a doctor would ask.
 
News » Obstetrics and litigation backlash
 

Obstetrics and litigation backlash

Obstetric insurance premiums are forcing many specialists and physicians out of practice due to unpredictable birth related disabilities, particularly cerebral palsy (CP). Cerebral palsy is a generic name for a combination of symptoms caused around the time of birth or while the child is still a young infant, the cause of which in the majority of cases are unknown. Studies have found that in the majority of CP cases, the insult could not have been avoided, regardless of the mother undergoing a Caesarean section. Birth asphyxiation, or reduced oxygen supply to the baby's brain due to prolonged labour is only one of many causes of CP, with in utero infections, genetic abnormalities, one twin death in utero, fetal or new born stroke, umbilical cord asphyxiation and prematurity also recognized CP risk factors. Most of the successful court cases suing obstetricians for their child's disability believed to be sustained due to the doctors negligence or malpractice are poorly justified and based on inaccurate assumptions. Electronic fetal monitoring (EFM) of the baby during labour was invented to detect and prevent distressed babies from suffering a lifelong curse of CP. However, EFM has not been found to improve outcome of the baby due to intervention encouraged by non-reassuring EFM traces as interpreted by birth attendants. Rather, it has promoted an increase in Caesarean sections, placing the mother at greater risk than natural childbirth due to surgical complications and yet the prevalence of CP remains steady over a number of years despite EFM and C sections. In most cases of CP, the cause, course and outcome of the condition is unpredictable and therefore unavoidable, negating any grounds for successful litigation. If current beliefs and legal practices are not rectified, the practice of obstetrics will become endangered.

Source: summary of medical news story as reported by JAMA

Related Disease Topics:

  • Cerebral palsy
  • Birth related disabilities
  • Birth asphyxiation
  • Utero infections
  • Genetic abnormalities
  • Fetal stroke
  • New born stroke
  • Umbilical cord asphyxiation
  • Prematurity

Article Source Details

About: Obstetrics and litigation backlash

Date: 5 October 2005

Source: JAMA

Author: Alastair MacLennan, Karin B. Nelson, Gary Hankins, Michael Speer

URL: http://jama.ama-assn.org/cgi/content/full/294/13/1688

Related Medical Topics

This summary article refers to the following medical categories:

More News Topics

  • Herbal supplement delivers promise of new hope in prostate cancer treatment
  • Herbal supplements prove their worth as a prostate cancer treatment
  • Hereditary spastic paraplegia is a frequently misdiagnosed neurological disorder
  • Herpes and syphilis infections increase risk of Hepatitis B in women
  • Herpes screening unwarranted for pregnant women
  • Herpes vaccine trial is about to begin
  • Herpes virus found in almost all healthy individuals
  • Hib vaccination trial a success in 3rd world
  • Hibiscus flower extract controls animal cholesterol levels
  • Hibiscus flower extract may protect against heart disease
  • High blood pressure added to the list of diseases blamed on soft drinks
  •  

    By using this site you agree to our Terms of Use. Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our Terms of Use.

    Home | Symptoms | Diseases | Diagnosis | Videos | Tools | Forum | About Us | Terms of Use | Privacy Policy | Site Map | Advertise