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Medico Legal Hazards in Post Natal Ward

Doctors should also diagnose and treat postpartum uterine rupture and tears in the mother immediately to prevent infection and long-term medical problems. It is not uncommon for mothers to suffer from post-traumatic stress disorder (PTSD) after medical neglect at birth. Based on 340 records reporting obstetric accidents, the authors classified medico-legal risks during pregnancy, regardless of whether the accidents gave rise to liability claims or not. These accidents occurred between 1950 and 1978 during and after childbirth. The classification reveals the most dangerous situations for the specialist and reveals the factors that increase this risk, so that a preventive attitude can be systematically adopted to avoid claims, whether they are made in criminal or civil proceedings. The statistical risks, which continue to increase with regard to instrumental deliveries and the great reference to caesarean section operations, are particularly detailed. After listing all the clinical forms of medico-legal risk selected by lawyers to avoid them or reduce their effects, the authors attempted to define the responsibilities that the obstetrician-gynecologist currently assumes within his ever-growing team. These include paediatricians, anaesthetists and ventilators, midwives, nurses who administer anaesthesia and the entire paramedical team, which has a special responsibility that depends more or less on the needs of the gynaecologist and obstetrician. The medico-legal risks associated with the lack of premises, staffing, quality and quantity of equipment were distinguished with a relatively low record of the characteristics of the persons who carried out the procedures, recorded in a large series of files, already old and most of which are so well documented that they could be used. without revealing any professional or legal secrets.

Soon after, her own son`s school called her to ask her to take him home, as he was not feeling well. Distracted by concerns about her child, she left the office without telling anyone else about the home visit she had made on behalf of the doctor. Later that day, the patient was hospitalized by accident and emergency with a perforated appendix. Obstetric haemorrhage is the leading cause of maternal mortality. Using a cluster-randomised study design, we investigated whether the use of non-pneumatic shock garment (NASG) before transport from primary health centres (PHC) to referral hospitals (RH) reduced side effects in women with hypovolaemic shock. We hypothesized that the NASG group would have a 50% reduction in adverse outcomes. We randomly assigned 38 PFS in Zambia and Zimbabwe to standard obstetric bleeding/shock protocols or to the same protocols plus NASG prior to transport. All women received NASG at HR. The primary outcomes were maternal mortality; severe maternal morbidity with terminal failure; and a composite mortality/morbidity outcome, which we have referred to as an extremely adverse outcome (EAO).

We also looked at whether NASG contributed to negative side effects and secondary outcomes. The sample size for statistical power was not reached; Of the 2400 women planned, 880 have been registered, including 405 in Inter. There are many short- and long-term effects that result from medical trauma at birth for both mother and child. In another case, a specialist called a family doctor`s office and asked to prescribe Losec to one of his patients. The message was received by a receptionist who had never heard of Losec. She thought the specialist had said “Lasix” and duly filled out a prescription for the GP to sign. The Lasix caused short-term stress to the patient, but no permanent damage. Delays in diagnosis, referral or treatment top the list of claims against primary care physicians, according to Dr. Gerard Panting of the MCN Medical Protective Society.

According to the American Journal of Maternal Child Nursing, cases of medical negligence in birth injuries can play a critical role in preventing cases like this from happening again. These demands also help maintain a high level of care in the medical community. Simple administrative errors can have catastrophic consequences. The most common administrative problems are: Even when systems are in place, it`s worth checking them regularly to see if they`re working as well as expected or if they can be improved. The main candidates for the exam are repeated prescribing systems, systems for receiving laboratory reports and responding to detected anomalies, and methods for recording and routing messages. In one case, the mother of a young man called the office and asked the doctor to visit her. Her son had been suffering from severe abdominal pain for about 24 hours and appeared to be getting worse. The receptionist pledged to relay the message and said the doctor would visit her as soon as he completed the operation. She wrote the patient`s name, but nothing else in the phone book. Unfortunately, when doctors commented on the lack of reports received in recent days, there was no way to identify patients whose results had been filed without being seen.

Practice staff had to carefully search each set of notes for reports that had not been signed by the physician. Health professionals are expected to cope with the difficult situations of childbirth and provide prompt medical treatment. For example, in emergency situations, when a mother or baby is in imminent danger, doctors must act quickly. Failure to inform a mother of the risks of using tweezers or vacuum delivery can also be considered medical negligence. Medication errors account for 20-25% of all claims against family physicians. The four most common errors are incorrect dosing, the use of inappropriate medications, failure to monitor treatment for side effects and toxicity, and failure to provide important information to the patient. That said, these medical expenses can be very costly for families. Neglect at birth can have a lasting impact on your child. Your child may need special treatment for birth injuries, depending on the severity of the injury. The inability to adequately monitor and follow up patients is a common problem.

Common situations in this category are poor control of diabetes mellitus, which leads to ophthalmological and CNS complications, and poor blood pressure control, which leads to cardiovascular, CNS and kidney problems. Guidelines in Practice, October 2002, Volume 5(10) © 2002 MGP Ltd further information | Subscribe In general practice, almost everything can go wrong. However, the majority of claims stem from a small number of recurring problems, with endless variations in the overall theme. Most clinical management problems can be categorized into broad categories: For example, babies can develop brain damage when medical professionals fail to recognize fetal stress during birth and the brain is deprived of oxygen deprivation for too long. These brain injuries can lead to cerebral palsy. For example, penicillamine was prescribed to a patient visiting a rheumatology clinic. The GP was asked to issue repeated prescriptions and did so for 7 years. However, without the knowledge of the family physician, the patient was discharged from the clinic after only a few visits and therefore did not have a regular blood test. In the absence of any communication to the contrary, the family physician assumed that no problem had been identified. The patient was eventually hospitalized with end-stage renal disease.

The use of inappropriate medications involves prescribing medications to which the patient is allergic or that interact with their current medications. A particularly common problem is the use of nonsteroidal anti-inflammatory drugs and other drugs that crowd out warfarin. This led to catastrophic bleeding and death in a number of patients. A consultant with admission rights in several hospitals placed his patients` notes in a cardboard box locked in the trunk of his car to keep them in a safe place. During his absence over the weekend, a patient developed pneumonia. The general practitioner immediately began antibiotic treatment. Unfortunately, the only record of the patient`s allergy to the prescribed medication was in the consultant`s private records. Parents and caregivers may be financially burdened by treatment costs and loss of income in their child`s long-term care.

Fortunately, there are several options for financial support such as government benefits, grants, and litigation compensation. The number of absence-related claims has declined in recent years, likely due to the emergence of co-operatives and easier access to after-hours medical care.

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