The risks of obstetrics and gynaecology in practice

In the United Kingdom, claims relating to obstetrics and gynaecology account for a quarter of all medico-legal costs. Obstetric claims are relatively few, but damages awarded are high, partly because of the nature of the injuries suffered, such as brain damage to the infant. Claims often arise very late, and it is therefore advisable to keep obstetric records for long periods. In gynaecology by contrast, claims are more numerous but damages and legal costs are lower. The solutions to these problems must lie in well-conducted practice, sufficient involvement of senior specialists (with proper supervision of more junior staff) and the keeping of good records. More basically one will have to strive for a society in which these issues are dealt with in a less adversarial manner.