MEDICOLEGAL ISSUES IN OBSTETRICS AND GYNAECOLOGY

1. Ethics in Medicine
2. Why Doctors Get Sued
3. Consent After Montgomery: Clinical Considerations
4. Consent After Montgomery: Legal Considerations
5. Duty of Candour
6. Leading Cases
7. The Claim Journey
8. GMC Referral
9. Report Writing
10. Being an Expert Witness
11. The Obstetrician/Gynaecologist in Coroner’s Court
12. Intimate Examinations and Chaperones
13. Pain Relief
14. Regional Anaesthesia
15. General Anaesthesia
16. Prenatal Screening and Diagnosis
17. The 20-Week Anomaly Scan
18. Induction of Labour
19. Diabetes in Pregnancy
20. Cardiac Disease in Pregnancy
21. Pre-eclampsia and Hypertension
22. Umbilical Cord Prolapse
23. Fetal Growth Restriction (FGR)
24. Placenta Praevia, Placenta Accreta and Vasa Praevia
25. CTG Interpretation
26. Operative Vaginal Birth
27. Caesarean Section
28. Shoulder Dystocia
29. Vaginal Birth After Caesarean Section, Uterine Rupture
30. Sepsis in Pregnancy
31. Twins
32. Vaginal Breech Delivery
33. Maternal Collapse in Pregnancy
34. Postpartum Haemorrhage and Retained Products of Conception Postnatal
35. Perineal Trauma and Episiotomy
36. Abdominal Hysterectomy
37. Diagnostic and Operative Laparoscopy
38. Diagnostic and Operative Hysteroscopy
39. Endometriosis
40. Ectopic Pregnancy and Miscarriage
41. Ovarian Surgery
42. Laparotomy
43. Urological Injuries
44. Bowel Injury
45. Vascular Injury

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.

Features
• Each chapter will reference the key standards in each area of practice
• At the end of each chapter will be a table with key learning points and a synopsis of the chapter
• All chapters will look at the reasons for litigations, and how to avoid them, including clinical governance issues and minimum standards

Authors
• Swati Jha MD, FRCOG. Consultant Obstetrician and Gynaecologist and Honorary Senior Clinical Lecturer. Subspecialist in Urogynaecology. Sheffield Teaching Hospitals
• Emma Ferriman, MbChB, FRCOG.Consultant Obstetrician and, Honorary Senior Clinical Lecturer. Subspecialist in Fetal and Maternal Medicine,. Sheffield Teaching Hospitals