Medico-legal considerations and Operative Vaginal Delivery

Publication date: Available online 10 February 2019Source: Best Practice & Research Clinical Obstetrics & GynaecologyAuthor(s): Deirdre J. MurphyAbstractOperative vaginal delivery (OVD) provides women with an alternative to caesarean section when complications arise in the second stage of labour. The perinatal mortality associated with OVD is very low and most of the perinatal morbidity is minor. However, when serious adverse events occur, such as traumatic birth injury, shoulder dystocia, cerebral palsy and perinatal death, there are medico-legal implications. There is also the potential for litigation in relation to maternal pelvic floor injury, which is increased with OVD. Obstetricians performing and supervising OVDs need to be aware of the potential pitfalls and minimize the risk of adverse outcomes. Given that most obstetricians will be involved in adverse birth-related events, it is important that they are aware of the legal processes that may ensue. It is also important when reviewing adverse OVD-related outcomes that association is differentiated from causation. These issues are addressed in the current chapter with attention drawn to the Montgomery ruling which redefines the legal standards expected in relation to informed consent.

Source: Best Practice and Research Clinical Obstetrics and Gynaecology - February 10, 2019 Category: OBGYN Source Type: research