Nocon J J, Coolman D A
J Reprod Med. 1987 Feb;32(2):83-90.
An analysis of 25 perinatal malpractice cases filed in Wisconsin between 1978 and 1984 clearly revealed that the unfavorable outcomes were preventable and caused by professional negligence. Each case was settled or adjudicated in favor of the plaintiff, and the awards totaled $25.1 million. Although cases with a total recovery of over $1 million are relatively infrequent, they are not so rare as to be considered extra-ordinary occurrences. Fifty-six percent of physicians involved failed to recognize a high-risk pregnancy or fetal distress, while 44% failed to render proper care. The most common errors involved inadequate fetal monitoring, the injudicious use of oxytocin and the failure to recognize a high-risk pregnancy, such as prematurity or postterm or multiple gestation. The purpose of this study was to examine the medicolegal issues operating in such cases in order to develop guidelines for reducing professional negligence, thereby preventing injury to women and their newborns.
对1978年至1984年间在威斯康星州提起的25起围产期医疗事故案件的分析清楚地表明，不良后果是可以预防的，并且是由专业疏忽造成的。每个案件都以有利于原告的方式得到解决或裁决，赔偿总额达2510万美元。虽然总赔偿额超过100万美元的案件相对较少，但也并非罕见到被视为特殊事件。56%的涉案医生未能识别高危妊娠或胎儿窘迫，而44%的医生未能提供适当的护理。最常见的错误包括胎儿监测不足、催产素使用不当以及未能识别高危妊娠，如早产、过期产或多胎妊娠。本研究的目的是审查此类案件中涉及的法医学问题，以便制定减少专业疏忽的指导方针，从而防止对妇女及其新生儿造成伤害。
