A retrospective analysis of 120 case of women and infants died in perinatal which caused medical malpractice / 重庆医科大学学报

ABSTRACT

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.