Malpractice in midwifery: A cross-sectional retrospective study from Turkey

Yıl 2022, Cilt: 2 Sayı: 1, 1 - 9, 27.01.2022

Burcu Tuncer Yılmaz Sultan Alan Melike Öztürk

Öz

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.

Anahtar Kelimeler

Malpractice, midwifery, care, incorrect application, medical error

Kaynakça

• 1. 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.
• 2. 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.
• 3. 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.
• 4. Büken E, Örnek Büken N, Büken B. Obstetric and gynecologic malpractice in Turkey: Incidence, impact, causes and prevention. J Clin Forensic Med. 2004;11(5):233-47. doi:10.1016/j.jcfm.2004.01.005.
• 5. Gündoğmuş 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.
• 6. Can İÖ, Özkara E, Can M. Evaluation of medical malpractice files decided in the Supreme Court.J DEU Med. 2011;25(2):69-76.
• 7. 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. 200710;52(5):458-64. doi:10.1016/j.jmwh.2007.03.013.
• 8. 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.
• 9. 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.
• 10. 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.
• 11. 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.
• 12. 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.
• 13. 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.
• 14. 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.
• 15. 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.
• 16. İlgili Ö. Women’s diseases and birth in decisions of high health council: 2000-2005. İstanbul: Türk Jinekoloji Der Yayınları; 2012.
• 17. 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.
• 18. Esinler I, Beishenova D, Akyol D, Önderoğlu L. Umbilical cord prolapsus: Maternal and fetal results. Türk Jinekoloji ve Obstet Derneği Derg. 2005;2(3):192-6.
• 19. 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 Gynecol Obstet-Special Top. 2002;12:16-9.
• 20. 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.
• 21. Yanık FF. Epizyotomi. Turkey Clinics J Gynecol Obs Top. 2008;18(1):50-4.
• 22. 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.
• 23. Sayıner FD, Demirci N. Effectiveness of prenatal perineal massage in vaginal delivery. Florence Nightingale J Nursing. 2007;15(60):146-54.
• 24. 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).
• 25. 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.