Soutoul J H, Chazara C, Froge E
J Gynecol Obstet Biol Reprod (Paris). 1982;11(2):285-300.
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.
作者们通过查阅340份报告了产科事故的档案，对妊娠期间的医疗法律风险进行了分类，无论这些事故是否引发了责任索赔。这些事故发生在1950年至1978年之间，发生在分娩期间及之后。该分类显示了对专科医生来说最危险的情况，并指出了增加这种风险的因素，以便能够系统地采取预防态度来避免索赔，无论索赔是通过刑事还是民事程序提出。与器械分娩以及剖腹产手术的高发生率相关的统计风险尤其详细，且这些风险在持续增加。在列出了律师指出的所有可避免或减轻其影响的医疗法律风险的临床形式之后，作者们试图界定目前妇产科医生在其人数不断增加的团队中所承担的责任。这些人员包括儿科医生、麻醉师和复苏人员、助产士、给予麻醉的护士以及所有承担或多或少取决于妇产科医生需求的专门责任的辅助医疗团队。与场所不足、人员数量以及设备质量和数量相关的医疗法律风险已被挑出，这是从大量年代久远且大多已登记备案的档案中记录的操作过程的人员特征的相对较小的平衡中得出的，这样这些档案可以在不泄露任何专业秘密或法律秘密的情况下被使用。
