When the routine practice of gentle downward traction of the fetal head fails to accomplish delivery of the anterior shoulder, the impacted shoulder itself, or the actions to deliver the infant, a traumatic birth-related injury may result. Failure of the shoulder to deliver spontaneously places both the mother and fetus at high risk for permanent injury. Physicians have a duty to disclose all relevant information pertaining to an adverse event to their patients in a timely manner. Failure to disclose important information may damage the relationship between physicians and their patients. Disclosure of an adverse event with prompt, clear communication helps to maintain physician-patient relationships, and improves the rate of recovery through better follow-up. In addition, perceptions by patients and family of physicians hiding information may lead to an increased rate of medical malpractice lawsuits. Patients may feel they need to sue just to get information. The purpose of this video is to assist physicians in enhancing their communication skills when disclosing a shoulder dystocia injury to patients and family members. This type of injury to the infant may unfortunately occur, despite the best of care. However, effective physician-patient communication is an integral part of clinical practice and has shown to positively influence outcomes by increasing patient understanding and trust.
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Негізгі бет Shoulder Dystocia - Physician Patient Disclosure
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