University of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA.
J Midwifery Womens Health. 2012 Jul-Aug;57(4):345-52. doi: 10.1111/j.1542-2011.2012.00201.x.
In partnership with the American College of Nurse-Midwives (ACNM), the authors conducted a survey of ACNM members to examine the incidence of lawsuit involvement, the outcomes of the litigation in which they were involved, and coping mechanisms among midwives who had been involved in a lawsuit.
In the spring of 2009, a nationwide Web-based survey was completed by ACNM members. In addition to using chi-square tests and nonparametric testing in data analysis, a logistic regression model was used to evaluate predictors of lawsuit involvement.
Among 1340 midwives responding to the survey, 32% had been named in a lawsuit at least once. The median number of years in practice when the event leading to lawsuit occurred was 6. The majority of midwifery lawsuits involved hospital births and were settled prior to going to court. Three variables were statistically significant for involvement with litigation: the midwife's age, the number of births attended, and the ACNM region of practice in the United States.
Lawsuits among midwives were significantly related to exposure to births over time. Practice patterns and job security were not greatly affected by the experience of a lawsuit. Future cyclic surveys are needed to track the frequency of litigation and the outcomes that lead to lawsuits and to better define the relationships between midwifery practice and medical malpractice litigation.
与美国护士助产学（ACNM）合作，作者对 ACNM 成员进行了一项调查，以调查诉讼的发生率、他们参与的诉讼结果以及参与诉讼的助产士的应对机制。
2009 年春季，ACNM 成员完成了一项全国性的网络调查。除了在数据分析中使用卡方检验和非参数检验外，还使用逻辑回归模型评估诉讼参与的预测因素。
在回应调查的 1340 名助产妇中，32%的人至少曾被起诉过一次。导致诉讼的事件发生时，助产士的平均执业年限为 6 年。大多数助产士诉讼涉及医院分娩，并在诉诸法庭前得到解决。有三个变量与诉讼参与具有统计学意义：助产士的年龄、分娩次数和在美国的 ACNM 执业区域。
助产士之间的诉讼与随着时间的推移接触分娩有显著关系。执业模式和工作保障并未因诉讼经历而受到重大影响。未来需要进行周期性调查，以跟踪诉讼频率以及导致诉讼的结果，并更好地定义助产实践与医疗事故诉讼之间的关系。
