{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:07:51Z","timestamp":1777896471828,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T00:00:00Z","timestamp":1608508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Leg J"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>No amount of symposia and clinical meetings and formal management will make a clinical difference unless obstetric units regularly and ruthlessly self-assess to curb medical negligence. Court case, which represent a small portion of substandard outcomes, not infrequently reveal a serious lack of obstetric judgment as well as paucity of knowledge which are compatible with unsupervised responsibility of labour ward duties. One UK court case ACF 32(2): 09\/2019 presents a factual picture of obstetric practice which is difficult to reconcile with modern UK practice. This article limits itself to a number of facts as presented to court by the claimant, and the comments are directed purely at the resulting implications. These facts as stated are seriously worrying in themselves as they reflect practice well below the minimum care to be expected in a modern country and are far from what is recommended by the Royal College of Obstetricians and Gynaecologists and indeed every day standards. The article recommends the shifting of focus from individual to collective or unit responsibility to achieve better care. In any case where gross mismanagement is found, there should be a wider check on practices within the whole obstetric unit.<\/jats:p>","DOI":"10.1177\/0025817220978848","type":"journal-article","created":{"date-parts":[[2020,12,21]],"date-time":"2020-12-21T11:55:40Z","timestamp":1608551740000},"page":"34-36","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Labour ward negligence"],"prefix":"10.1177","volume":"89","author":[{"given":"George G","family":"Buttigieg","sequence":"first","affiliation":[{"name":"University of Malta, Malta"},{"name":"University of Rome, Tor Vergata"},{"name":"Plovdiv Medical University, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirill","family":"Micallef-Stafrace","sequence":"additional","affiliation":[{"name":"University of Malta, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,21]]},"reference":[{"key":"bibr1-0025817220978848","unstructured":"Particulars of claim by child for damages against hospital for birth injury of cerebral palsy.\n                      Lexis Library\n                      . Available at: www-lexisnexis-com.ejournals.um.edu.mt\/uk\/legal\/results\/enhdocview.do?docLinkInd=true&ersKey=23_T29311141879&format=GNBFULL&startDocNo=0&resultsUrlKey=0_T29311141881&backKey=20_T29311141882&csi=280122&docNo=4&scrollToPosition=253.04348754882812"},{"key":"bibr2-0025817220978848","unstructured":"Simms\n                        v\n                        Birmingham Health Authority\n                      \n                      [2000] All ER (D) 1978."},{"key":"bibr3-0025817220978848","unstructured":"Martelly\n                        v\n                        New York City Health & Hosp. Corp\n                      \n                      ., 276 A.D.2d 373, 373\u2013374 (1st Dept. 2000)."},{"key":"bibr4-0025817220978848","unstructured":"London Strategic Health Authority\n                        v\n                        Whiston\n                      \n                      [2010] 3 All ER 452."},{"key":"bibr5-0025817220978848","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03575.x"},{"key":"bibr6-0025817220978848","unstructured":"Ecclesiastes 1: 4\u201311."},{"key":"bibr7-0025817220978848","unstructured":"Ludwig (by her mother & litigation friend Della Louise Ludwig)\n                        v\n                        Oxford Radcliffe Hospitals NHS Trust and another\n                      \n                      [2012] EWHC 96 (QB)."},{"key":"bibr8-0025817220978848","volume-title":"Optimising Maltese obstetric medico-legal dynamics","volume":"1","author":"Buttigieg GG.","year":"2020"},{"key":"bibr9-0025817220978848","unstructured":"NHS Litigation Authority Report 2000\u20132010."},{"key":"bibr10-0025817220978848","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2007.09.005"},{"key":"bibr11-0025817220978848","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1990.tb02515.x"},{"key":"bibr12-0025817220978848","unstructured":"The Clinical Negligence Scheme for Trusts (CNST) of the UK, Fetal Monitoring Training System. 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