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Chapter 21 - Legal Commentary III

from Part III - SURGICAL PROCEDURES

Published online by Cambridge University Press:  07 May 2010

John Patrick O'Grady ,
Martin L. Gimovsky ,
Lucy A. Bayer-Zwirello  and
Kevin Giordano
John Patrick O'Grady
Affiliation:
Tufts University, Massachusetts
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Summary

Most surgical conditions that occur in the nonpregnant patient also occur in pregnancy. For a surgical problem that arises during pregnancy, the urgency of surgical treatment must be balanced against the risk that such treatment poses to the mother and the fetus. Current obstetric literature and legal case reports reveal that obstetric forceps and the vacuum extractor are coming back into the mainstream of obstetric practice. Cesarean delivery has been a major tool to assist the obstetrician in improving pregnancy outcome. Urologic injuries occurring during the course of pregnancy or more commonly during surgical or instrumental delivery, can result in serious and potentially life-threatening complications to both the mother and the unborn infant. Most urologic injuries from vaginal or abdominal surgical procedures on pregnant women involve some form of direct mechanical injury or compromise to the bladder or ureters.

Keywords

abdominal surgical procedurescesarean deliveryfetal surgeryobstetric forcepsurologic injuriespregnancyinstrumental deliverylegal controversiesvacuum extractor
Type
Chapter
Information
Operative Obstetrics , pp. 663 - 682
Publisher: Cambridge University Press
Print publication year: 2008

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