Medicolegal Issues in Obstetrics and Gynaecology

Description

This book highlights minimum standards relating to the management of different conditions in the practice of Obstetrics and Gynaecology. The editors explore clinical governance issues, common causes of as well as ways to avoid litigation. The UK is experiencing a dramatic increase in medico-legal claims. The 4 main reasons for litigation are: accountability, the need for an explanation, concern with standards of care and compensation. However the decision to take legal action is determined not only by the original injury, but failure to provide information, an explanation and an apology. Insensitive handling of an injury and poor communication after the original incident increases the risk of litigation and erodes the patient-doctor relationship. Doctors almost never deliberately cause harm to patients, however increasingly claims are being defended successfully. This book is invaluable to clinicians and lawyers alike and raises awareness of how to avoid facing clinical negligence claims in our day to day practice. Front Matter ....Pages i-xiii Front Matter ....Pages 1-1 Ethics in Medicine (Kate F. Walker, James G. Thornton)....Pages 3-8 Why Doctors Get Sued (Eloise Powers)....Pages 9-13 Consent After Montgomery: Clinical Considerations (Helen Bolton)....Pages 15-18 Consent After Montgomery: Legal Considerations (Elizabeth Thomas, Bertie Leigh)....Pages 19-21 Duty of Candour (Helen Bolton)....Pages 23-26 Leading Cases (Fiona Paterson)....Pages 27-30 The Claim Journey (Karen Ellison, Emma Ferriman)....Pages 31-35 GMC Referral (Katherine Sheldrick, Angela Pilling)....Pages 37-43 Report Writing (Eloise Powers, Sallie Booth)....Pages 45-49 Being an Expert Witness (John Reynard)....Pages 51-54 The Obstetrician/Gynaecologist in Coroner’s Court (A. R. W. Forrest)....Pages 55-59 Intimate Examinations and Chaperones (Janesh K. Gupta)....Pages 61-63 Front Matter ....Pages 65-65 Pain Relief (Jeremy P. Campbell, Felicity Plaat)....Pages 67-72 Regional Anaesthesia (Sujata Handa, David Bogod)....Pages 73-75 General Anaesthesia (Samuel Hird, Rehana Iqbal)....Pages 77-82 Front Matter ....Pages 83-83 Prenatal Screening and Diagnosis (Emma Ferriman, Dilly Anumba)....Pages 85-87 The 20-Week Anomaly Scan (Emma Ferriman, Dilly Anumba)....Pages 89-92 Induction of Labour (Myles J. O. Taylor)....Pages 93-98 Diabetes in Pregnancy (Alexander M. Pirie)....Pages 99-103 Cardiac Disease in Pregnancy (Philip J. Steer)....Pages 105-108 Pre-eclampsia and Hypertension (Alexander M. Pirie)....Pages 109-114 Umbilical Cord Prolapse (Susana Pereira, Edwin Chandraharan)....Pages 115-120 Fetal Growth Restriction (FGR) (William L. Martin)....Pages 121-125 Placenta Praevia, Placenta Accreta and Vasa Praevia (Jeremy Brockelsby)....Pages 127-132 CTG Interpretation (Vikram Talaulikar, Sabaratnam Arulkumaran)....Pages 133-138 Operative Vaginal Birth (Stephen O’Brien, Mohamed ElHodaiby, Tim Draycott)....Pages 139-145 Caesarean Section (James Johnston Walker)....Pages 147-151 Shoulder Dystocia (Tim Draycott, Jo Crofts)....Pages 153-161 Vaginal Birth After Caesarean Section, Uterine Rupture (Kara Dent)....Pages 163-167 Sepsis in Pregnancy (Derek J. Tuffnell)....Pages 169-172 Twins (Mark D. Kilby, Peter J. Thomson)....Pages 173-178 Vaginal Breech Delivery (Simon Grant, Emma Ferriman)....Pages 179-183 Maternal Collapse in Pregnancy (Peter Brunskill, Emma Ferriman)....Pages 185-190 Postpartum Haemorrhage and Retained Products of Conception Postnatal (Stephen O. Porter)....Pages 191-197 Perineal Trauma and Episiotomy (Dharmesh S. Kapoor, Abdul H. Sultan)....Pages 199-204 Front Matter ....Pages 205-205 Abdominal Hysterectomy (Thomas Keith Cunningham, Kevin Phillips)....Pages 207-211 Diagnostic and Operative Laparoscopy (Andrew Baxter)....Pages 213-216 Diagnostic and Operative Hysteroscopy (Ertan Saridogan)....Pages 217-220 Endometriosis (Alfred Cutner)....Pages 221-224 Ectopic Pregnancy and Miscarriage (Andrew Farkas)....Pages 225-228 Ovarian Surgery (Swati Jha, Ian Currie)....Pages 229-233 Laparotomy (James Campbell)....Pages 235-241 Urological Injuries (Christopher R. Chapple)....Pages 243-248 Bowel Injury (Janesh K. Gupta, Tariq Ismail)....Pages 249-252 Vascular Injury (Jonathan D. Beard)....Pages 253-258 Front Matter ....Pages 259-259 Vaginal Repair and Concurrent Prolapse and Continence Surgery (Philip Toozs-Hobson)....Pages 261-264 Midurethral Synthetic Slings (Swati Jha)....Pages 265-268 Colposuspension and Autologous Fascial Sling (Andrew Farkas)....Pages 269-272 Vaginal Mesh Surgery (Mark Slack)....Pages 273-276 Vaginal Hysterectomy (Swati Jha, Linda Cardozo)....Pages 277-280 Laparoscopic Prolapse Surgery (Simon Jackson)....Pages 281-285 Acute Urinary Retention (Mark Slack)....Pages 287-290 Obstetric Anal Sphincter Injury [OASI] (Swati Jha, Abdul Sultan)....Pages 291-294 Front Matter ....Pages 295-295 Fertility Testing and Treatment Decisions (Ying Cheong, Rachel Broadley)....Pages 297-299 Assisted Conception (Raj Mathur)....Pages 301-305 Gamete Donation and Surrogacy (Sharon Pettle, Hannah Markham)....Pages 307-311 Termination of Pregnancy (Abortion) (Swati Jha, Lesley Regan)....Pages 313-316 Hormone Replacement Therapy (HRT) (Nick Nicholas)....Pages 317-323 Long-Acting Reversible Contraception (Raj Mathur, Swati Jha)....Pages 325-328 Sterilisation (Janesh K. Gupta)....Pages 329-332 Front Matter ....Pages 333-333 Fast Track Referrals and GP Perspectives (Rahul Kacker)....Pages 335-338 Running a Safe Rapid Access Clinic (Vivek Nama)....Pages 339-344 Cervical Screening, Cytology and Histology Laboratory Issues (Karin Denton)....Pages 345-349 MDT Function and the Law (Alan Farthing)....Pages 351-355 Colposcopy and Surgical Management of Early Stage Cervical Cancer (John Murdoch)....Pages 357-362 Vulval Disorders and Neoplasia (Helen Bolton, Peter Baldwin)....Pages 363-366 Uterine Cancer (Amit Patel)....Pages 367-371 Ovarian and Tubal Cancer (Richard Clayton)....Pages 373-377 Gestational Trophoblastic Disease (John Tidy)....Pages 379-381 Chemotherapy and Radiotherapy in Gynaecological Cancer (Paul Symonds)....Pages 383-387 Back Matter ....Pages 389-401