{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:27:53Z","timestamp":1781512073751,"version":"3.54.1"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,8,13]],"date-time":"2012-08-13T00:00:00Z","timestamp":1344816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:title>Abstract\u2002<\/jats:title><jats:p><jats:italic>Objective<\/jats:italic>. To describe causes of substandard care in obstetric compensation claims.<jats:italic>Design and setting<\/jats:italic>. A nationwide descriptive study in Norway.<jats:italic>Population<\/jats:italic>. All obstetric patients who believed themselves inflicted with injuries by the Health Service and applying for compensation.<jats:italic>Methods<\/jats:italic>. Data were collected from 871 claims to The Norwegian System of Compensation to Patients during 1994\u20132008, of which 278 were awarded compensation.<jats:italic>Main outcome measures<\/jats:italic>. Type of injury and cause of substandard care.<jats:italic>Results<\/jats:italic>. Of 871 cases, 278 (31.9%) resulted in compensation. Of those, asphyxia was the most common type of injury to the child (83.4%). Anal sphincter tear (29.9%) and infection (23.0%) were the most common types of injury to the mother. Human error, both by midwives (37.1% of all cases given compensation) and obstetricians (51.2%), was an important contributing factor in inadequate obstetric care. Neglecting signs of fetal distress (28.1%), more competent health workers not being called when appropriate (26.3%) and inadequate fetal monitoring (17.3%) were often observed. System errors such as time conflicts, neglecting written guidelines and poor organization of the department were infrequent causes of injury (8.3%).<jats:italic>Conclusions<\/jats:italic>. Fetal asphyxia is the most common reason for compensation, resulting in large financial expenses to society. Human error contributes to inadequate health care in 92% of obstetric compensation claims, although underlying system errors may also be present.<\/jats:p>","DOI":"10.1111\/j.1600-0412.2012.01409.x","type":"journal-article","created":{"date-parts":[[2012,4,4]],"date-time":"2012-04-04T15:15:42Z","timestamp":1333552542000},"page":"1191-1195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["A nationwide descriptive study of obstetric claims for compensation in Norway"],"prefix":"10.1111","volume":"91","author":[{"given":"STINE","family":"ANDREASEN","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BJ\u00d8RN","family":"BACKE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROLF GUNNAR","family":"J\u00d8RSTAD","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00c5L","family":"\u00d8IAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,8,13]]},"reference":[{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7216.1054"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709024362"},{"key":"e_1_2_9_4_2","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1034\/j.1600-0412.2000.079009750.x","article-title":"Shoulder dystocia\u2013malpractice or acceptable risk?","volume":"79","author":"Skolbekken JA","year":"2000","journal-title":"Acta Obstet Gynecol Scand."},{"key":"e_1_2_9_5_2","first-page":"493","article-title":"Adjudicating severe birth injury claims in Florida and Virginia","volume":"4","author":"Siegal G","year":"2008","journal-title":"AJLM."},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2010.01240.x"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2008.06.011"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-720X.2001.tb00350.x"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2007.01602.x"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2004.02.005"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340601181318"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.06.004"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11113.x"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00800.x"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2009.111"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/ewjm.172.6.393"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181eda77a"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e3181f2e907"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzl059"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(97)70186-8"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.02.031"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs.2009.040022"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.003"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-0412.2012.01409.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-0412.2012.01409.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T19:53:59Z","timestamp":1713815639000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-0412.2012.01409.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,13]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.1111\/j.1600-0412.2012.01409.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-0412.2012.01409.x","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,13]]},"assertion":[{"value":"2012-08-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}