Managing complications of perineal lacerations
Managing complications of perineal lacerationsThis article reviews complications that may occur following perineal trauma, techniques to help prevent these complications, and best practices for management using case vignettes.
Detecting abnormalities, documenting optionsA California woman was 35-years-old when she delivered an infant with severe Down's syndrome and then sued all those involved with the prenatal care and alleged that both physicians were told the parents wanted all available testing because of a family history of birth defects. What's the verdict? Plus more cases.
IUD blamed for multiple miscarriagesA woman sues her ob/gyn claiming that 3 miscarriages occurred because of an IUD that the ob/gyn believed had been expelled shortly after implantation, but was subsequently found using abdominal x-ray. Plus more cases.
Maternal death from intracranial hemorrhageA 34-year-old Ohio woman was under the care of her longtime family physician, who had minor privileges to deliver uncomplicated pregnancies at a specific hospital, for her pregnancy. The woman is diagnosed with eclampsia in her third trimester and is immediately given a cesarean. After delivery, she is unresponsive having died from a massive intracranial hemorrhage. The physician is sued for fraudulently representing her abilities in obstetric care. What's the verdict?
Innovative material helps implant lower IOP safely, effectivelyThe XEN Gel Stent is a micro-fistula implant designed to lower IOP without relying on physiologic outflow pathways – it connects the anterior chamber to the subconjunctival space. Prospective data from more than 900 surgeries from around the world support the safety and efficacy of this device.
Did surgeon inexperience result in iatrogenic injury?On July 29, 2010, a 46-year-old obese primarily Spanish-speaking patient was admitted to a hospital by her private ob/gyn Dr. A for a total laparoscopic hysterectomy (TLH) and/or laparoscopically assisted vaginal hysterectomy (LAVH) that day.
Legally Speaking: CP diagnosed after preterm delivery in SpainA California woman with a history of 2 premature deliveries and a single miscarriage became pregnant in 2004. A few days after the pregnancy was confirmed, she was seen by a physician at a military base in connection with an application to accompany her husband overseas. The application was approved and the patient went to Spain, where she delivered at 31 weeks’ gestation in 2005.
Best of AUA 2013: Female Urology/Incontinence/UrodynamicsPriya Padmanabhan, MD, MPH, presents the take home messages on female urology/incontinence/urodynamics from the AUA annual meeting in San Diego.