[The medico-legal risk in obstetrics. What has been learned from studying 340 files on accidents (author's transl)].
The authors, from perusal of 340 files where accidents in obstetrics were reported, have classified the medico-legal risks in pregnancy, wether the accidents gave rise or did not give rise to claims for responsibility. These accidents occurred between 1950 and 1978 and they happened during and after delivery. The classification shows up the most dangerous situations for the specialist and points out the factors that increase this risk so that systematically a preventive attitude can be taken to avoid claims, whether they are made under criminal or civil procedures. Particularly detailed have been statistical risks which are increasing continuously in association with instrumental deliveries and with the large indicence of Caesarean operation. After they have listed all the clinical forms of medico-legal risk picked out by counsel so that they can be avoided or their effects reduced, the authors have attempted to define the responsibility that the gynaecologist-obstetrician takes at present in the midst of his team that is always increasing in number. Among these are paediatricians, anaesthetists and resuscitators, midwives, nurses who give anaesthetics and all the para-medical team who have specialised responsibility which depends more or less on the needs of the gynaecologist-obstetrician. The medico-legal risks which are linked with a deficiency in premises, numbers of personnel and quality and quantity of equipment have been singled out with a relatively small balance of the characteristics of those who carried out the procedures recorded in a large series of files which are already old and which for the most part have been docketed so that they could be used without revealing any professional secrets nor legal secrets.
D002585:Cesarean Section; D005260:Female; D005602:France; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007751:Labor, Induced; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008428:Maternal Mortality; D007752:Obstetric Labor, Premature; D009774:Obstetrics / Q000592:standards*; D010348:Patient Care Team / Q000331:legislation & jurisprudence; D011247:Pregnancy; D011296:Prenatal Diagnosis
Le risque médico-légal en obstétrique. Les enseignements de l'étude de 340 dossiers d'accidents.