Forensic Identification and Evaluation of 25 Obstetric Brachial Plexus Palsy Medical Damage Cases
10.12116/j.issn.1004-5619.2022.220302
- VernacularTitle:25例新生儿分娩性臂丛神经损伤医疗损害法医学鉴定评价
- Author:
Yong YU
1
;
Ying-Jie WANG
;
Yun-Fei JIA
;
Bao-Jing HUANG
;
Song-Yue HE
;
Chuan-Chuan LIU
Author Information
1. 北京法源司法科学证据鉴定中心,北京 100062
- Keywords:
forensic medicine;
obstetric brachial plexus palsy;
medical damage;
cases analysis
- From:
Journal of Forensic Medicine
2024;40(1):43-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the high risk factors of obstetric brachial plexus palsy(OBPP),and to explore how to evaluate the relationship between fault medical behavior and OBPP in the process of medical damage forensic identification.Methods A retrospective analysis was carried out on 25 cases of medical damage liability disputes related to OBPP from 2017 to 2021 in Beijing Fayuan Judicial Science Evidence Appraisal Center.The shortcomings of hospitals in birth weight assessment,delivery mode selection,labor process observation and shoulder dystocia management,and the causal relation-ship between them and the damage consequences of the children were summarized.Results Fault medi-cal behavior was assessed as the primary cause in 2 cases,equal cause in 10 cases,secondary cause in 8 cases,minor cause in 1 case,no causal relationship in 1 case,and unclear causal force in 3 cases.Conclusion In the process of forensic identification of OBPP,whether medical behaviors fulfill diagno-sis and treatment obligations should be objectively analyzed from the aspects of prenatal evaluation,de-livery mode notification,standardized use of oxytocin,standard operation of shoulder dystocia,etc.Meanwhile,it is necessary to fully consider the objective risk of different risk factors and the diffi-culty of injury prevention,and comprehensively evaluate the causal force of fault medical behavior in the damage consequences.
