期刊
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
卷 108, 期 2, 页码 170-173出版社
WILEY
DOI: 10.1016/j.ijgo.2009.10.002
关键词
Cerebral palsy; Clinical judgment; Fetal monitoring guidelines; Guidelines; Legal evidence; Perinatal mortality; Refusal of advice
The new American College of Obstetricians and Gynecologists' (ACOG) monitoring guidelines introduce a new category of interpretation of fetal heart rate tracings between reassuring and nonreassuring, namely intermediate. The purpose is to reduce unnecessary cesarean deliveries. The legal role of medical guidelines is ambivalent. Providers are expected to be familiar with such guidelines, but also to exercise clinical judgment in their patients' interests. Practice departing from guidelines requires justification, but simple compliance without regard to patients' circumstances may constitute negligence. Some courts defer to medical professional guidelines, but others hold that professional standards are set as a matter of law, not by the profession itself. Unlike conclusions in medical science, which are open to continuing review, courts determine facts in a case only once, at trial. Litigation to compel patients' compliance with medical advice based on guidelines may fail, as may prosecutions, more common in the US. of patients who defy such advice. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. M rights reserved.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据