Implementation of informed consent in obstetrics and gynecology operations in Khartoum- Sudan 2009

This is a descriptive, cross-sectional study, done in Khartoum state to assess patients and providers' knowledge and practice on informed consent in obstetrics and gynecology operations during year 2009. After an informed consent from patients and hospital directorate, data was collected by interview of both patients and health care providers at department of obstetrics and gynecology in all Khartoum state hospitals, during the period from first of January to 31st of December 2009. In this study, 544 patients and 393 health care providers were included. Informed consent is known to be important to 355 [90.3%] of health care providers, its contents are wholly or partially known to 263 [66.9%]. It was taken for surgical operation by 298 [75.8%] of providers, it was written in 279/ 298 [93.6%] and verbal in 19 /298 [06.4%]. Written consent was signed by the husband, the patient herself or her relatives. Lack of time and language are the main reasons for, not taking an informed consent. Although informed consent is relatively implemented; its requirements were notproperly fulfilled. Not taking an informed consent is influenced by multifactorial barriers including lack of time, language and lack of experience. Pre and in-service training on informed consent and communication skills, with detailed format of informed consent will improve the situation

Responsabilidad médico-legal: análisis de querellas 1991-1998 / Physicians legal responsability: analysis of complaints, 1991-1998

Se examinan 764 casos de querellas instauradas contra médicos de todas las especialidades y de todo el país presentadas al Servicio Médico Legal de Chile entre 1991 y 1998. De ellas se estudian 155 casos correspondientes a la especialidad de gineco-obstetricia, con el fin de comprobar el estado actual del problema. Se observa un aumento progresivo de las querellas, correspondiendo la mayor proporción de ellas a obstetricia. Se estudian los diagnósticos, intervenciones médicas, complicaciones y tipo de querella. Se revisan conceptos médico-legales, señalando posibles causas del problema y se sugieren modos de superarlo

Reglamento interno: hospital gineco-obstetrico "Dr. Jaime Sanchez Porcel" / Intern regulations: gynecologic and obstetric Hospital Dr. Jaime Sánchez Porcel

El reglamento establece y regula las relaciones existentes entre el hospital gineco-obstétrico con las personas que prestan sus servicios en ella, a cambio de una remuneración, determinando derechos y obligaciones de ambas partes. Sus preceptos tienes carácter general y serán aplicables a las relaciones entre la entidad con las personas a su servicio