Literary, pregnancy is a gift from God and the period is assumed
to be supposed to be one of the happiest
times of any woman or any couple’s life. Bringing a baby into the world is a
wondrous thing and, in most cases, that’s exactly how it plays out. However, It
is unfortunate that not all pregnancies are perfect, and some aren’t even
wanted. At this important time, the chief priority with any clinician is to
safeguard the mother and her unborn foetus. Any instance of medical negligence
– and the basis for any compensation claims – usually hinges on cases where
this safeguarding has not taken place.
Let’s
take a look at some of the pregnancy-related procedures which our experience
has shown to be the main possible areas of medical negligence:
Abortion
This
is a very common medical procedure that involves the ending of a pregnancy and
the removal of the unborn baby. It’s also referred to as a termination in some
quarters. There are all sorts of different reasons, mostly personal, why a
woman decides not to carry through with a full pregnancy. As long as certain
criteria are met, abortions can be safely carried out at any point during the
first 24 weeks of pregnancy. But of course, despite being so commonplace, it’s
still a medical procedure, so it still carries an element of risk.
• Failed abortion , this is an unsuccessful
termination. This can be due to a failure of methods and incorrect checking of
scans to make sure the procedure has been done properly. Drug induced abortions
generally have a higher failure rate than surgical ones, while in some cases,
where the baby has survived the abortion, it has been born with abnormalities
or congenital contractures which is a muscle condition at birth where the
muscles are abnormally contracted or short.
• Haemorrhage Also known as excessive bleeding, this
occurs in about one in every 1,000 abortions.
• Damage to the
cervix or womb the cervix is the entrance to the womb and in more than 10
in every 1,000 abortions, some form of damage occurs. Similarly, damage to the
womb itself takes place in up to four of every 1,000 surgical abortions. These
are not insignificant numbers and they can have serious repercussions for the
patients involved.
• Infection in the
womb Infections
are a risk in every single surgical procedure – and this should be adequately
explained to the patient beforehand by the surgeon. If left untreated or not
treated correctly, an infection could severely damage the reproductive organs.
For example, it could lead to pelvic inflammatory disease (PID) which can cause
infertility or an ectopic pregnancy (where the foetus starts growing outside
the womb).
Chromosome abnormalities in pregnancy
There
are a number of tests available at the moment which can screen and diagnose any
abnormalities in the early stages of pregnancy. These tests are mainly used to
determine conditions like Down ’s syndrome but sometimes they do fail or the
results are not interpreted correctly. Here are some of the main tests
available for expectant mothers:
• Serum screening: this is a blood test performed at
15-20 weeks. It measures the levels of pregnancy hormones in the mother’s
blood.
• Nuchal translucency measurement Ultrasound is used
to measure the fluid space at the back of the foetus’s neck at 11 to 14 weeks.
If the foetus is affected by Down’s, there will be a noticeably bigger space
there.
• Diagnostic tests If there is any doubt about
chromosomal abnormalities, cells can be taken from the foetus and examined for
a more accurate appraisal.
• Amniocentesis This is a well-known test. While
mainly used for checking for Down’s and other chromosomal abnormalities, it can
also determine the sex of the baby. (That’s why there are legal restrictions on
using it in some countries.) It’s performed at the 15+ week stage and involves
taking a sample from the amniotic fluid in the womb.
• Chorionic villus
sampling (CVS) This examines a sample of the placenta and is performed at
the 11 week stage.
All
of the above tests carry a slight risk of miscarriage which is something all
patients have to bear in mind. Balance that up with the possibility that the
baby could be born with a chromosomal abnormality – which can’t be cured – and
it’s not so difficult to see why many expectant mothers opt to have some or all
of these tests run.
Molar
Pregnancy
This
is a very rare type of pregnancy that is comprised of an abnormal composition
of chromosomes that mean the foetus fails to develop. A complete molar
pregnancy will feature a placenta and no accompanying foetus. Proper monitoring
of a pregnancy should be able to identify such a situation but mistakes have
been known to be made and this tragic scenario can sometimes carry on much
longer than is necessary.
Pregnancy
can either be a time of great joy or great anxiety (or both). Emotions are
generally running high and if medical negligence is part of the mix, it can
cause severe levels of stress. This is something we’ve encountered time and
time again and we see it as our job to make sure that we take all that stress
out of the equation. Our expertise is second to none and will be just what you
need to steer you through this emotional minefield. While you may have other
pressing concerns, your appointed solicitor will be doing his or her utmost on
your behalf.
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