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PubMed1976

Medical malpractice.

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Insurance, Liability↗
PubMedDate not supplied

[Quality criteria and risks for malpractice in ultrasound prenatal diagnosis. What is allowed--what may be missed?].

BACKGROUND: As with all new diagnostic options in medicine, great hope was placed in the introduction of high-resolution prenatal sonography. Progress tends to carry with it a demanding attitude of higher expectations. Patients and doctors alike may initially overestimate the possibilities of medical advances. QUESTIONS: The question at hand is whether objective criteria can validate a positive influence of prenatal ultrasound on fetal outcome. How should a sonographic routine screening be structured, and what legal aspects need to be taken into consideration? MATERIAL AND METHODS: This is an attempt to survey the heterogeneous pool of internationally published data with regard to these critical questions. Only a rationally devised analysis of possibilities and restrictions of routine prenatal sonography can answer the question of "what--if anything--may be missed?" RESULTS AND CONCLUSIONS: Screening ultrasound matches sonography on indication. Despite controversial data a discussion of different studies leads to a positive conclusion on the benefits of ultrasound monitoring in pregnant women. Ultrasound-screening has an explicit effect on medical and economic issues as well as on litigation.

Congenital Abnormalities↗