Shoulder dystocia: Updating some medico-legal issues

Author:

Buttigieg George G1,Micallef-Stafrace Kirill1

Affiliation:

1. Department of Obstetrics and Gynaecology; Department of Orthopaedics, University of Malta, Trauma and Sport Medicine.

Abstract

Shoulder dystocia, or shoulder entrapment at birth, is an obstetrician’s nightmare, which not infrequently leads to court litigation with complaints of serious foetal and/or maternal damage. Increasingly, retrospective management scrutiny is extending well beyond second stage birth mechanics and involving all case file entries, history taking, ultrasound scan measurements and haematology profile results, etc. The article highlights some medico-legal issues including the influence of the Montgomery ruling on patient disclosure and subsequent management.

Publisher

SAGE Publications

Subject

General Medicine

Reference10 articles.

1. Are labor abnormalities more common in shoulder dystocia?

2. Professional Insurance Association of America risk management data, www.irmi.com/free-resources/insurance-industry-links/insurance-associations (2005, accessed 3 November 2021).

3. Miller A. Forces or forceps: the developing law of shoulder dystocia, https://kennedyslaw.com/thought-leadership/article/forces-or-forceps-the-developing-law-of-shoulder-dystocia/ (2017, accessed 1 November 2021).

4. Royal College of Obstetricians and Gynaecologists. RCOG Guideline No. 42. 2005. Dec.

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1. Medico-legal problems and shoulder dystocia;Medico-Legal Journal;2023-01-23

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