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The medical liability crisis continues to grow at an alarming rate and has particularly impacted perinatal and neonatal practice. This book focuses on issues which have a high vulnerability to claims of medical negligence. Its objective is the recognition of high-risk situations and the appropriate means to diagnose, treat, and document the response to such situations. Emphasis on record keeping, communication, and anticipatory behaviour is stressed. Chapters are accompanied by commentaries aimed at presenting alternative strategies. Authors have been chosen for their expertise in the subject and their abilities to communicate their points of view.
This unique text focuses on an aspect of medical and nursing practice which has become a major area of importance in the medico-legal arena. The editors have made a special effort to aid both the medical and legal sectors in understanding the important issues involved in medical negligence cases. This book will help remedy this situation by examining the "red flags" in several high risk situations to enable the development of a prospective approach to risk management. The contributors are internationally recognised experts from the field of obstetrics, neonatology, nursing and hospital administration, as well as the legal profession.
The editors believe that this book will serve to bring about changes in the behaviour of health care professionals which will ultimately improve the quality of care that they give to their patients. This text should be on the bookshelf of any individual involved in the medical care of the pregnant woman and her newborn.
The book contains black-and-white illustrations.
SECTION I: INTRODUCTION.
1. Professionalism and the Avoidance of Malpractice (Richard L. Schreiner).
SECTION II: PRENATAL OBSTETRICAL ISSUES.
2. Genetics and Prenatal Diagnostic Techniques (Mark I. Evans, Roderick F. Hume and Mark P. Johnson).
3. Multiple Pregnancy Losses (James H. Harger).
4. Diagnosis and Management of Ectopic Pregnancy (Philip E. Young).
5. Hypertensive Disorders in Pregnancy (Baha M. Sibai).
6. Gestational Diabetes Mellitus (Robert P. Lorenz).
7. Preterm Labor: Diagnosis and Treatment (Michael Katz and Pamela J. Gill).
8. Antepartum Fetal Assessment (Carl V. Smith).
9. Postdates Pregnancy: Diagnosis and Management (Angela C. Ranzini and Robert Knuppel).
10. Prevention of Neonatal Group B Streptococcal Infection (Mitchell P. Dombrowski and Michael F. McNamara).
SECTION III: INTRAPARTUM OBSTETRICAL ISSUES.
11. Electronic Fetal Monitoring: Role of Physician (Barry S. Schifrin).
12. Electronic Fetal Monitoring: Role of the Nurse (Michael L. Murray).
13. Abruptio Placentae (Kenneth R. Niswander).
14. Nursing Identification of Abruptio Placentae (Catherine E. Cochell and Charles W. Fisher).
15. Oxytocin and Litigation in Obstetrics (George H. Nolan and Leila R. Hajjar).
16. Operative Vaginal Delivery (Philip C. Dennen).
17. Episiotomy: Repair, Complications, and Follow-Up (Ronald T. Burkman).
18. Shoulder Dystocia (Robert B. Hilty).
SECTION IV: PATHOLOGIC AND LABORATORY EVALUATION.
19. The Use of the Placenta in the Understanding of Perinatal Injury (Kurt Benirschke).
20. Umbilical Cord Blood Gas Analysis in the Assessment of Intrapartum Fetal and Neonatal Status (Stanley M. Berry).
21. The Perinatal Autopsy and Risk Management: The Value of a "Standardized" Approach (Trevor Macpherson).
SECTION V: NEONATAL ISSUES.
22. Neonatal Resuscitation (Steven M. Donn).
23. Neonatal Infection: A Medico-Legal Perspective (Roger G. Faix).
24. Neonatal Hypoglycemia (Marvin Cornblath).
25. Hypoxic-Ischemic Encephalopathy and Traumatic Intracranial Injuries (Michael V. Johnston and Steven M. Donn).
26. Periventricular Leukomalacia (Steven M. Donn and Michael V. Johnston).
27. Neuroimaging in High-Risk Perinatal and Neonatal Medicine (James A. Brunberg).
28. The Postdates/Postmature Infant (Robert E. Schumacher).
29. Intravascular Catheters (Elizabeth L. Workman and Steven M. Donn).
SECTION VI: MATERNAL AND NEONATAL TRANSPORT.
30. Maternal Transport (Clark E. Nugent and Barbara A. Colwell).
31. Neonatal Transport (Molly R. Gates, Sandra Geller and Steven M. Donn).
32. Emergency Vehicles and Crews: Maintenance and Safety Issues (Peter L. Forster and Denise Landis).
33. The COBRA Regulations: Obstetrical Implications (Susan H. Zitterman).
SECTION VII: COMMUNICATION.
34. Inappropriate Word Choice in the Labor and Delivery and Newborn Medical Record (Jeffrey H. Chilton and Thomas R. Shimmel).
35. Risk Management in Medical Consultation (John V. Hartline and C. Giles Smith).
36. Delivering Bad News (Virginia Delaney-Black).
SECTION VIII: DOCUMENTATION AND RISK MANAGEMENT.
37. Obstetrical Forms: Nursing Documentation (Charles W. Fisher, Michael P. Burke and Rosemary Cicala).
38. Prospective Risk Management (Margaret Copp Dawson and Rita W. Cikanek).