Yang X P, Chen F, Liu X, Zhou X R
Shanghai Key Laboratory of Forensic Medicine, Shanghai Forensic Science Platform, Academy of Forensic Science, Shanghai 200063, China.
Di'an Institute of Forensic Science, Shanghai Di'an Forensic Science Limited Company, Shanghai 200051, China.
Fa Yi Xue Za Zhi. 2018 Oct;34(5):508-511. doi: 10.12116/j.issn.1004-5619.2018.05.014. Epub 2018 Oct 25.
To analyze the cases of medical disputes involving prenatal examination from a point of view of forensic expertise, and to discuss the risk of medical disputes and the preventive measures.
A retrospective analysis was conducted on 49 forensic expertise cases of medical disputes in prenatal examination which were identified in Academy of Forensic Science and Shanghai Di'an Forensic Science Limited Company from 2010 to 2017.
In recent years, the number of medical disputes involving prenatal examination showed an increasing trend year by year. The common causes of medical disputes were: uninformed or insufficiently informed disclosure （20 cases）; the propaganda and application of three-dimensional, four-dimensional ultrasound were not standardized （14 cases）; ultrasound examination and serological screening process were not standardized （12 cases）; no antenatal counseling （2 cases）, etc.
In order to minimize the occurrence of such medical disputes, hospitals or related associations should avoid the risk of prenatal examination through the standardization of management and operation.
从法医学鉴定角度分析产前检查医疗纠纷案例，探讨医疗纠纷风险及防范措施。
回顾性分析2010年至2017年在公安部物证鉴定中心及上海迪安司法鉴定有限公司鉴定的49例产前检查医疗纠纷法医学鉴定案例。
近年来，产前检查医疗纠纷数量呈逐年上升趋势。医疗纠纷的常见原因有：告知不充分或未告知（20例）；三维、四维超声宣传及应用不规范（14例）；超声检查及血清学筛查流程不规范（12例）；未进行产前咨询（2例）等。
为尽量减少此类医疗纠纷的发生，医院或相关机构应通过规范管理和操作来规避产前检查风险。
