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Abstract

MEDICO-LEGAL RISK MANAGEMENT IN OBSTETRICS

Fatima Rahioui*, Amina Daoudi and Mohammed Hassan Alami, Amina Ouksaka, Hicham Benhadda, Ahmed Belhouss and Hicham Benyaich

ABSTRACT

Since the middle of the last century, the concept of medico-legal risk has been developed considerably following the questioning of doctors on the legal issue and is now an integral part of medical practice, especially in gynecology-obstetrics. Statistics show that the number of civil, criminal or administrative proceedings increases every year even if the number of condamnations remains low. This important development is the result of a change of the relationship between the caregiver and the patient. Formerly, it was a moral contract based on mutual trust, the patient had a priori trust in his doctor while being aware of the limits of medicine. With the evolution of society, the patient conscious of his rights, believes in the omnipotence of science, no longer has a passive role in the act of care but becomes more and more demanding, accepting badly the medical accident whether it is faulty or not. In fact, patients no longer see themselves as patients but as care clients. We then realize that there is a real contract between the medical profession and the patients. The pressure on the management of medico-legal risk is exerted with particular intensity on gynecologists - obstetricians, sonographers, generalists and midwives who touch on a risk emblematic of modern societies: pregnancy, birth and maintaining a sufficient rate of procreation to renew society. For this particular risk, we almost find ourselves in the logic of the atom: society refuses to fail. What to do in practice? What contours for enhanced security that do not demotivate professionals, in particular for the mother-child pole?

Keywords: Management, medico-legal risk, medical file, communication, information.


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