Malpractice in midwifery: A cross-sectional retrospective study from Turkey
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Keywords:Malpractice, midwifery, care, incorrect application, medical error
Medical malpractice could result from personal reasons such as negligence, carelessness, ignorance, lack of skills, and insufficiency in patient care. The aim of the authors of this study to determine the knowledge, views, experiences and observations of midwives about malpractice. The study was carried out between April-September 2013, on 75 midwiwes working in three different hospitals in a city of Turkey. The semi-structured interview form developed by researcher has been used. It has been determined that the causes of malpractice are mostly thought by midwives as inability and inexperience in profession (90.7%), carelessness (86.7%) and lack of attention (40%). It has been determined that 24% of the midwives has witnessed a faulty medical practice and 5.4% of midwives make medical errors. The most observed types of medical errors encountered by midwives; umbilical cord prolapses due to amniyotomy prematurely (42.7%), damage to the anal sphincter during episiotomy (62.7%) and forgetting foreign object after repair of episiotomy (32%). At the end of the study has appeared should be giving importance to vocational training and postgraduate service training for reducing medical errors and protection from malpractice midwives.
Beigi M, Asadi L, Valiani M, Mardani F. Evaluating different types of malpractices in midwifery that were referred to the forensic medicine commission and the medical council between 2006 and 2011 in Isfahan province, 2013. Iran J Nurs Midwifery Res. 2015;20(4):426–30.doi: 10.4103/1735-9066.161012
Ayoubian A, MahmoodAbadi H, Dehaghi Z. Midwifery Errors: a Descriptive Study in Isfahan Forensic Medicine General Department. Mater Socio Medica. 2013;25(3):175. doi: 10.5455/msm.2013.25.175-177
Çetin G. Legal and Criminal Liability of Physicians on the New Legal Framework, Regulation of Medical Malpractice and Judicial Reports. İstanbul Univ Cerrahpaşa Med Fac Contin Med Educ Act Symp Ser. 2006;31–42.
Büken E, Örnek Büken N, Büken B. Obstetric and gynecologic malpractice in Turkey: incidence, impact, causes and prevention. J Clin Forensic Med. 2004 Oct;11(5):233–47. doi: 10.1016/j.jcfm.2004.01.005
Gündoǧmuş ÜN, Özkara E, Mete S. Nursing and midwifery malpractice in Turkey based on the higher health council records. Nurs Ethics. 2004;11(5):489–99. doi: 10.1191/096973304ne727oa
Can İÖ, Özkara E, Can M. Evaluation of medical malpractice files decided in the Supreme Court. J DEU Med. 2011;25(2):69–76.
McCool WF, Guidera M, Hakala S, Delaney EJ. The Role of Litigation in Midwifery Practice in the United States: Results from a Nationwide Survey of Certified Nurse-Midwives/Certified Midwives. J Midwifery Womens Health. 2007 Sep 10;52(5):458–64. doi: 10.1016/j.jmwh.2007.03.013
Guidera M, Mccool W, Hanlon A, Schuiling K, Smith A. Midwives and Liability: Results from the 2009 Nationwide Survey of Certified Nurse-Midwives and Certified Midwives in the United States. J Midwifery Women’s Heal. 2012;57(4):345–52. doi: 10.1111/j.1542-2011.2012.00201.x
Xu X, Lori JR, Siefert KA, Jacobson PD, Ransom SB. Malpractice Liability Burden in Midwifery: A Survey of Michigan Certified Nurse-Midwives. J Midwifery Women’s Heal. 2008;53(1):19–27. doi: 10.1016/j.jmwh.2007.10.003
Angelini DJ, Greenwald L. Closed claims analysis of 65 medical malpractice cases involving nurse-midwives. J Midwifery Women’s Heal. 2005;50(6):454–60. doi: 10.1016/j.jmwh.2005.06.004
Mccool WF, Guidera M, Griffinger E, Sacan D. Closed Claims Analysis of Medical Malpractice Lawsuits Involving Midwives: Lessons Learned Regarding Safe Practices and the Avoidance of Litigation. J Midwifery Women’s Heal. 2015;60(4):437–44. doi: 10.1111/jmwh.12310
Öztunç M. The situation of incorrect medical practice of nurses and midwives working obstetric clinics and their views on the importance of causes of incorrect medical practice. Gazi University; 2012.
Küçük Alemdar D, Yaman Aktaş Y. Medical error types and causes made by nurses in Turkey. TAF Prev Med Bull. 2013;12(3):307–14. doi: 10.5455/pmb.1-1345816200
Kahriman İ, Öztürk H. Evaluating medical errors made by nurses during their diagnosis, treatment and care practices. J Clin Nurs. 2016;25(19–20):2884–94. doi: 10.1111/jocn.13341
Meurier CE, Vincent CA, Parmar DG. Learning from errors in nursing practice. J Adv Nurs. 1997;26(1):111–9. doi: 10.1046/j.1365-2648.1997.1997026111.x
İlgili Ö. Women’s diseases and birth in decisions of high health council: 2000-2005. İstanbul: Türk Jinekoloji Der Yayınları; 2012.
Ylä‐Outinen A, Heinonen PK, Tuimala R. Predisposing and Risk Factors of Umbilical Cord Prolapse. Acta Obstet Gynecol Scand. 1985;64(7):567–70. doi: 10.3109/00016348509156364
Esinler I, Beishenova D, Akyol D, Önderoğlu L. Umbılıcal cord prolapsus: maternal and fetal results. Türk Jinekoloji ve Obstet Derneği Derg. 2005;2(3):192–6.
Duran EH, Eroğlu D, Sandıkçı N, Arda Lembet A, Bağış T, Zeyneloğlu HB. A prospective randomized study on routine use of episiotomy in vaginal deliveries. Turkey Clinics J GynecolObstet-Special Top. 2002;12:16–9.
Albers LL, Borders N. Minimizing Genital Tract Trauma and Related Pain Following Spontaneous Vaginal Birth. J Midwifery Women’s Heal. 2007;52(3):246–53. doi: 10.1016/j.jmwh.2006.12.008
Yanık FF. Epizyotomi. Turkey Clinics J Gynecol Obs Top. 2008;18(1):50–4.
Althabe F, Belizán JM, Bergel E. Episiotomy rates in primiparous women in Latin America: Hospital based descriptive study. Br Med J. 2002;324(7343):945–6. doi: 10.1136/bmj.324.7343.945
Sayıner FD, Demirci N. Effectiveness of prenatal perineal massage in vaginal delivery. Florence Nightingale J Nursing. 2007;15(60):146–54.
Özata M, Altunkan H. Frequency of medical errors in hospitals, determination of medical error types and medical errors: Konya sample. Journal of Medical Investigations 2010;8(2).
Barker KN, Flynn EA, Pepper GA, Bates DW, Mikeal RL. Medication errors observed in 36 health care facilities. Arch Intern Med. 2002;162(16):1897–903. doi: 10.1001/archinte.162.16.1897
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