SONG An-lin, et al. A retrospective analysis of 120 case of women and infants died in perinatal which caused medical malpractice. [J]. Journal of Chongqing Medical University 35(5):744-749(2010)
SONG An-lin, et al. A retrospective analysis of 120 case of women and infants died in perinatal which caused medical malpractice. [J]. Journal of Chongqing Medical University 35(5):744-749(2010) DOI: 10.13406/j.cnki.cyxb.2010.05.004.
A retrospective analysis of 120 case of women and infants died in perinatal which caused medical malpractice
Objective:To compare and analyze the relevant factors on perinatal women and infants mortality which caused medical malpractice
impact on the cause of death were reviewed.Methods:A retrospective analysis on the cause of death about women and infants died in perinatal for medical malpractice.Material came from department of Forensic Medicine
Chongqing Medical University
2000~2009;a total of 120 cases
of which 72 cases of women
48 cases of infants.Statistics include:number of autopsy
cause of death
time of death
hospital situation
mode of delivery
prenatal diseases
clinical diagnosis and autopsy diagnosis in line and so on.Results:①Women and infantsdied in perinatalwhich caused medicalmalpracticemosthappened in firstdegreeand second degreehospitals;② All levels of hospitals’average rate of misdiagnosis about perinatal child was 77.1%
far higher than the women’s team:40.3%;③Women died in perinatal which caused medical malpractice have a high average age:30.5 years old
and 65.3% of them were more than 28 years old;④Women died in perinatal which caused medical malpractice most were farmers and unemployed people
accounting for 62% and 17%;⑤75% of the women died in perinatal were in high-risk pregnancy
and the first three risk factors were pregnancy complications
pregnancy and childbirth abnormalities;⑥The first five factors leading women died in perinatal which caused medical malpractice were:postpartum hemorrhage
amniotic fluid embolism
severe infections
pulmonary artery and vein thrombosis
acute necrotizing pancreatitis;⑦The first four factors leading infant died in perinatal which caused medical malpractice were:lung factors
umbilical cord factors
placental factors and labor factors.The time from the birth process begin to 48 hours after birth is the peak of infant mortality
accounting for 77.1% of infant died in perinatal.Conclusion:Medical conditions
high-risk pregnancy and rescue are important factors for perinatal women and infant mortality.To improve medical conditions of first degree and second degree hospitals
and to enhance its ability of handling high-risk factors
postpartum hemorrhage
amniotic fluid embolism
and lung factors and umbilical cord factors of infant in perinatal is the key of reducing perinatal women and infants mortality;and also can reduce the incidence of medical malpractice in Chongqing area.
关键词
尸体解剖死亡原因病理诊断围生期医疗纠纷
Keywords
autopsyCause of deathPathological diagnosisPerinatalMedical malpractice
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