Main description:

This book highlights minimum standards relating to the management of different conditions in the practice of Obstetrics and Gynaecology. The editors explore clinical governance issues, common causes of as well as ways to avoid litigation.

The UK is experiencing a dramatic increase in medico-legal claims. The 4 main reasons for litigation are: accountability, the need for an explanation, concern with standards of care and compensation. However the decision to take legal action is determined not only by the original injury, but failure to provide information, an explanation and an apology. Insensitive handling of an injury and poor communication after the original incident increases the risk of litigation and erodes the patient-doctor relationship. Doctors almost never deliberately cause harm to patients, however increasingly claims are being defended successfully.

This book is invaluable to clinicians and lawyers alike and raises awareness of how to avoid facing clinical negligence claims in our day to day practice.

Contents:

Section 1: General.- Ethics in Medicine.- Patients Rights and responsibilities.- Doctors Rights and Responsibilities.- Issues around Consent.- UK Case Law: Leading cases.- Risk Management.- What to do if you get sued.

Section 2: Anaesthesia in Obstetrics and Gynaecology.- Spinal and Epidural.- General Anaesthesia.- Local Anaesthesia.

Section 3: Obstetrics.- Antenatal scanning.- Anomaly screening.- Invasive screening.- Induction of labour.- Diabetes in Pregnancy.- Other Medical conditions of Pregnancy.- Pre- Eclampsia.- Intrapartum care.- Placenta Praevia and Accreta.- Interpretation of CTG.- Instrumental delivery.- Caesarean section.- Shoulder Dystocia.- Sepsis.- Postpartum care.- OASI.- Perineal trauma.

Section 4. Minimal Access Gynaecology.- Diagnostic Laparoscopy.-

Operative laparoscopy.- Diagnostic Hysteroscopy.- Operative Hysteroscopy.- Sterilisation.- Laparoscopic Urogynaecology.

Section 5. General Gynaecology.- Hysterectomy.- Oopherectomy.- Laparatomy.- Bladder injury.- Ureteric injury.- Bowel injury.- Blood vessel injury.- Abdominal Hysterectomy.- Subtotal Hysterectomy.

Section 6.Urogynaecology.- Prolapse Surgery.- TVT.- Colposuspension.- Autologous fascial slings.- Recurrent incontinence.- Vaginal Mesh surgery.- Sacrocolpopexy.- Manchester repair.- Recurrent prolapse.

Section 7. Infertility, subfertility and the menopause.- Assisted Reproductive technology.- IVF.- Gamete donation.- Surrogacy.- Adoption.- Termination of pregnancy.- Hormone replacement therapy.- Reversible contraception.- Sterilisation.

Section 8. Oncology.- Colposcopy.- Vulval Problems.- Cervical cancer.- Endometrial cancer.- Ovarian Cancer.- Tubal cancer.