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Iatrogenic Disease

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Fetal and Neonatal Pathology

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Abstract

The realisation that medical treatment can be harmful to the patient is not new. Injury to the fetus during instrumental delivery is well recognised (Fedrick and Butler 1971), but still occurs. A review of obstetric cases coming to litigation found that failure to observe or act on signs of fetal distress, mismanagement of the use of forceps and inadequate supervision of junior medical staff were common factors (Ennis and Vincent 1990). The authors thought these cases should not be dismissed as isolated incidents but reflect a more general problem. The increasing use of invasive antenatal investigations and the availability of sophisticated neonatal intensive care has resulted in an increased in both the incidence and range of iatrogenic disease in the fetus and neonate. It is important that the pathologist recognises the manifestations of iatrogenic disease when he undertakes the necropsy examination of babies. By so doing he contributes to safer, more effective management of both pregnancy and the neonatal period. If he is to do this, he must be aware of investigations and procedures which have been undertaken and of medication prescribed during both the pregnancy and in postnatal life before he begins his examination. To this end, it is important that the clinical notes are available and all drain tubes and catheters are left in situ after death.

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Authors
  1. Jean W. Keeling
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Editors and Affiliations

  1. Department of Paediatric Pathology and Cytogenetics, Royal Hospital for Sick Children, Edinburgh, EH9 1LF, UK

    Jean W. Keeling MBBS, FRCPath, FRCP (Edin) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology)

  2. University of Edinburgh, UK

    Jean W. Keeling MBBS, FRCPath, FRCP (Edin) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology) (Consultant Paediatric Pathologist, Honorary Senior Lecturer in Pathology)

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© 1993 Springer-Verlag London

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Keeling, J.W. (1993). Iatrogenic Disease. In: Keeling, J.W. (eds) Fetal and Neonatal Pathology. Springer, London. https://doi.org/10.1007/978-1-4471-3802-0_14

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  • DOI: https://doi.org/10.1007/978-1-4471-3802-0_14

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3804-4

  • Online ISBN: 978-1-4471-3802-0

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