Antonio Malvasi1,2, Simona Zaami3, Andrea Tinelli2,4, Giuseppe Trojano5, Gianluca Montanari Vergallo3, Enrico Marinelli3. 1. a Department of Obstetrics and Gynaecology , GVM Care & Research Santa Maria Hospital , Bari , Italy. 2. b International Translational Medicine and Biomodelling Research Group, Department of Applied Mathematics , Moscow Institute of Physics and Technology, State University , Moscow , Russia. 3. c Department of Anatomical, Histological, Forensic and Orthopaedic Sciences , "Sapienza" University of Rome , Rome , Italy. 4. d Department of Obstetrics and Gynecology , Vito Fazzi Hospital , Lecce , Italy. 5. e Department of Obstetrics and Gynaecology 2 , AOU Policlinico , Bari , Italy.
Abstract
AIM: A significant amount of data concerning maternal-fetal damage arising from the exertion of Kristeller maneuvers (KMs) or fundal pressure (FP) go unreleased due to medicolegal implications. MATERIALS AND METHODS: For this reason, the paper gathers information as to the real magnitude of litigation related to FP-induced damages and injuries. The authors have undertaken a research in order to include general search engines (PubMed-Medline, Cochrane, Embase, Google, GyneWeb) and legal databases (De Jure, Italian database of jurisprudence daily update; Westlaw, Thomson Reuters, American ruling database and Bailii, UK Court Ruling Database). RESULTS: Results confirm said phenomenon to be more wide ranging than it appears through official channels. Several courts of law, both in the United States of America (USA) and in European Union (EU) Member States as well, have ruled against the use of the maneuver itself, assuming a stance conducive to a presumption of guilt against those doctors and healthcare providers who resorted to KMs or FP during deliveries. Given how rife FP is in mainstream obstetric practice, it is as if there were a wide gap between obstetric real-life and what official jurisprudence and healthcare institutions-sanctioned official practices are. CONCLUSION: The authors think that it would be desirable to draft specifically targeted guidelines or recommendations on maneuvers during vaginal delivery, in which to point out exactly what kinds of maneuvering techniques are to be absolutely banned and what maneuvers are to be allowed, and under what conditions their application can be considered appropriate.
AIM: A significant amount of data concerning maternal-fetal damage arising from the exertion of Kristeller maneuvers (KMs) or fundal pressure (FP) go unreleased due to medicolegal implications. MATERIALS AND METHODS: For this reason, the paper gathers information as to the real magnitude of litigation related to FP-induced damages and injuries. The authors have undertaken a research in order to include general search engines (PubMed-Medline, Cochrane, Embase, Google, GyneWeb) and legal databases (De Jure, Italian database of jurisprudence daily update; Westlaw, Thomson Reuters, American ruling database and Bailii, UK Court Ruling Database). RESULTS: Results confirm said phenomenon to be more wide ranging than it appears through official channels. Several courts of law, both in the United States of America (USA) and in European Union (EU) Member States as well, have ruled against the use of the maneuver itself, assuming a stance conducive to a presumption of guilt against those doctors and healthcare providers who resorted to KMs or FP during deliveries. Given how rife FP is in mainstream obstetric practice, it is as if there were a wide gap between obstetric real-life and what official jurisprudence and healthcare institutions-sanctioned official practices are. CONCLUSION: The authors think that it would be desirable to draft specifically targeted guidelines or recommendations on maneuvers during vaginal delivery, in which to point out exactly what kinds of maneuvering techniques are to be absolutely banned and what maneuvers are to be allowed, and under what conditions their application can be considered appropriate.
Authors: Elise Farrington; Mairead Connolly; Laura Phung; Alyce N Wilson; Liz Comrie-Thomson; Meghan A Bohren; Caroline S E Homer; Joshua P Vogel Journal: Reprod Health Date: 2021-05-18 Impact factor: 3.223
Authors: Desirée Mena-Tudela; Susana Iglesias-Casás; Víctor Manuel González-Chordá; Águeda Cervera-Gasch; Laura Andreu-Pejó; María Jesús Valero-Chilleron Journal: Int J Environ Res Public Health Date: 2020-12-29 Impact factor: 3.390