Abstract:

Purpose: The characteristics of the facts of the allegations of death in medical practice in the field of women’s diseases and births and the legal medical dimension are assessed in the literature accompanying, the aim is to reduce the allegations that may be addressed due to the errors of medical practice and the practice of health workers and institutions. Instruments and Methods: In the years 2012-2013, 452 facts with allegations of medical practice errors on women’s diseases and healthcare professionals in the field of birth by the Judicial Medical Institute (ATK) were examined retrospective. Results: Scientific opinion found that 8% of the 452 incidents requested (n:38) had medical application errors. The medical application errors have been observed from high rates of cases from the Eastern Anatolian region, frequently private hospitals and specialized doctors. The maternal death rate in pregnancies over the age of 35 was significantly higher than in pregnancies under the age of 35 (p<0,001). The occurrences were frequently caesaric birth (n:241, 58.7%) and the presence of medical errors in normal births was significantly higher than the presence of medical errors in caesaric births (p<0,05). In both gynecological and maternal death cases, the uterus is the cause of atonic death, while when the relationship between the clinical diagnosis and the cause of death determined by ATK is assessed, it is found that the compatibility rate for both gynecological and obstetric events is high (58% -61%). In cases, both complaints and medical errors have been found to be the cause of lack of care. The result: in medical application errors claim cases, each phenomenon must be assessed by its own dynamics. It is believed that the complete retention of records of medical practices and the provision of patient doctor's correct communication could reduce the errors and claims of medical practice.

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