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Chapter 8 - Medico-Legal Aspects of Assisted Vaginal Birth (AVB)

Published online by Cambridge University Press:  06 June 2024

By
Milena Petrovic ,
Dimitrios Siassakos  and
Derek Tuffnell
Edited by
George Attilakos ,
Sharon Jordan ,
Michele Mohajer ,
Glen Mola ,
Stephen O'Brien  and
Dimitrios Siassakos
George Attilakos
Affiliation:
University College London
Sharon Jordan
Affiliation:
Southmead Hospital, Bristol
Michele Mohajer
Affiliation:
Shropshire Women and Children’s Centre
Glen Mola
Affiliation:
University of Papua New Guinea
Stephen O'Brien
Affiliation:
University of Bristol
Dimitrios Siassakos
Affiliation:
University College London
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Summary

Maternity claims represent the highest value and second highest number of clinical negligence claims reported to NHS Resolution. The three most frequent categories of claim were those relating to management of labour (14.05%), caesarean section (13.24%) and cerebral palsy (10.65%). Two of these categories, namely cerebral palsy and management of labour, along with CTG interpretation, were also the most expensive and together accounted for approximately 70% of the total figure of £3.1 billion, paid out on or expected to be paid, for all maternity claims.

Type
Chapter
Information
ROBuST: RCOG Assisted Birth Simulation Training
Course Manual
 , pp. 114 - 129
Publisher: Cambridge University Press
Print publication year: 2024

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References

NHS Litigation Authority. Ten Years of Maternity Claims, An Analysis of NHS Litigation Authority Data, ISBN: 978–0–9565019–2–9, 2012.Google Scholar
Murphy, DJ . Medico-legal considerations and operative vaginal delivery. Best Practice & Research Clinical Obstetrics & Gynaecology, Volume 56, 2019;114–24.Google ScholarPubMed
RCOG. Assisted Vaginal Birth Green-Top Guideline No26, April 2020.Google Scholar
NICE. Intrapartum Care CG190, 2017.Google Scholar
Reitter, A, Daviss, B-A, Bisits, A et al. Does pregnancy and/or shifting positions create more room in a woman’s pelvis? Am J Obstet Gynecol 2014;211:662.e1-9.CrossRefGoogle ScholarPubMed
GMC Guidance: Decision making and consent, September 2020.Google Scholar
RCOG. Consent and the Montgomery ruling, 2023. www.rcog.org.ukGoogle Scholar
RCOG. Obtaining Valid Consent, Clinical Governance Advice No. 6, January 2015.Google Scholar
RCOG. Consent Advice No. 11: Operative Vaginal Delivery, July 2010.Google Scholar
Murphy, DJ, Liebling, RE, Verity, L, Swingler, R, Patel, R. Early maternal and neonatal morbidity associated with operative delivery in the second stage of labour: a cohort study. Lancet 2001;358:1203–7.Google ScholarPubMed

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