A nationwide descriptive study of obstetric claims for compensation in Norway.

“Increased training in fetal monitoring and obstetric emergency situations are recommended to decrease the obstetric compensation claims”

In this article reasons for substandard care in obstetric compensation claims are discussed.

Fetal asphyxia is the most common reason for compensation, resulting in large financial expenses to society. Human errors contribute to inadequate health care in 92 % of obstetric compensation claims, although underlying system errors may also be present.

Fetal birth asphyxia, anal sphincter tear and infection are the most common injuries where compensation is awarded. Substandard care like failure in fetal monitoring and not contacting more competent health workers when needed is often observed.

To improve quality and prevent substandard care increased training in fetal monitoring and obstetric emergency situations are recommended, as well as annual local and national audits of difficult cases.

 

Abstract – Andreasen et al. 2012

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