Page 34 - OB Risks - Delivering the Goods (Part Two)

SVMIC Obstetrics Risks: Delivering the Goods

involved with each. Without such documentation, the
case was difficult to defend.

In shoulder dystocia cases, despite medical evidence to the

contrary, jurors often accept the argument that the injury
could not occur unless there was improper technique by the

provider. As stated throughout this course, communication and
documentation are the physician’s best defenses.

Placental Examination

One of the most important factors to result in a successful

causation defense in a malpractice claim is an examination
of the placenta. From a defense standpoint, examining the

placenta may aid in identifying the biological cause of a prenatal
or developmental abnormality. Placental pathology is a useful

tool, but unfortunately it’s not always utilized.

It is generally recognized that all placentas should be examined

grossly, either by the delivering physician or a pathologist.
Examination of the placenta should be performed at the time of

delivery, and the physician at delivery should note some basic
characteristics of the placenta including:

Umbilical Cord

• Cord length and diameter

• Cord insertion and twist or coiling of the cord should be

noted as left or right

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