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Medicolegal Issues in Obstetrics and Gynaecology
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Table of Contents

Section 1: General.- Ethics in Medicine.- Patients Rights and responsibilities.- Doctors Rights and Responsibilities.- Issues around Consent.- UK Case Law: Leading cases.- Risk Management.- What to do if you get sued.Section 2: Anaesthesia in Obstetrics and Gynaecology.- Spinal and Epidural.- General Anaesthesia.- Local Anaesthesia. Section 3: Obstetrics.- Antenatal scanning.- Anomaly screening.- Invasive screening.- Induction of labour.- Diabetes in Pregnancy.- Other Medical conditions of Pregnancy.- Pre- Eclampsia.- Intrapartum care.- Placenta Praevia and Accreta.- Interpretation of CTG.- Instrumental delivery.- Caesarean section.- Shoulder Dystocia.- Sepsis.- Postpartum care.- OASI.- Perineal trauma. Section 4. Minimal Access Gynaecology.- Diagnostic Laparoscopy.-Operative laparoscopy.- Diagnostic Hysteroscopy.- Operative Hysteroscopy.- Sterilisation.- Laparoscopic Urogynaecology.Section 5. General Gynaecology.- Hysterectomy.- Oopherectomy.- Laparatomy.- Bladder injury.- Ureteric injury.- Bowel injury.- Blood vessel injury.- Abdominal Hysterectomy.- Subtotal Hysterectomy. Section 6.Urogynaecology.- Prolapse Surgery.- TVT.- Colposuspension.- Autologous fascial slings.- Recurrent incontinence.- Vaginal Mesh surgery.- Sacrocolpopexy.- Manchester repair.- Recurrent prolapse.Section 7. Infertility, subfertility and the menopause.- Assisted Reproductive technology.- IVF.- Gamete donation.- Surrogacy.- Adoption.- Termination of pregnancy.- Hormone replacement therapy.- Reversible contraception.- Sterilisation.Section 8. Oncology.- Colposcopy.- Vulval Problems.- Cervical cancer.- Endometrial cancer.- Ovarian Cancer.- Tubal cancer.

About the Author

Swati Jha MD, FRCOGConsultant Obstetrician and Gynaecologist and Honorary Senior Clinical LecturerSubspecialist in UrogynaecologySheffield Teaching Hospitals Miss Jha's main clinical workload is the management of pelvic floor problems and has published extensively on the topics of incontinence surgery and prolapse surgery. She works at Sheffield Teaching Hospitals NHS Foundation Trust (STH) and is an Honorary Senior Clinical lecturer at Sheffield University. She is on the Clinical Governance and Guidelines committee and a member of the Clinical Risk group. Miss Jha is a member of the Royal College of Obstetricians and Gynaecologists (RCOG) and British Society of Urogynaecologists (BSUG). She is Chair Elect of the BSUG and is Vice chair till 2019. She has been Chair of the Training Committee and contributed to the development of curriculum design and implementation for Laparoscopic Urogynaecology.She is also a member of the International Urogynaecological Association (IUGA), Paediatric and Adolescent Gynaecology (BritSPAG), Medical Defence Union (MDU), United Kingdom Continence Society (UKCS) and British Medical Association (BMA). She is BSUG spokesperson for the RCOG journal The Obstetrician and Gynaecologist (TOG) and has served as the Yorkshire representative for NHS England on the Complex Gynae services Clinical Reference Group. She has trained in Medico-legal reporting and regularly acts as an expert for a range of Law firms and teaches on courses for Solicitors. She has been invited to speak on the medicolegal aspects of Laparoscopic Urogynaecology and Robotic gynaecology at National conferences by BSUG and BIARGS.

Emma Ferriman, MbChB, FRCOG Consultant Obstetrician and, Honorary Senior Clinical Lecturer Subspecialist in Fetal and Maternal Medicine, Sheffield Teaching Hospitals

Dr Ferriman is an accredited Subspecialist in Fetal and Maternal Medicine. She also h

olds the joint diploma of Obstetric ultrasound from the Royal College of Radiology (RCR) and The Royal College of Obstetricians and Gynaecologists (RCOG). Her main clinical workload is the management of complex tertiary level Fetal Medicine including first trimester screening, prenatal diagnosis and Obstetric Ultrasound. She has a special interest in the management of multiple pregnancies, having set up the first Multiple Pregnancy clinic in Yorkshire in 2004 at Leeds General Infirmary. She has published in both maternal and fetal medicine, epidemiology and twin pregnancy. She works at Sheffield Teaching Hospitals NHS Foundation Trust (STH) and is an Honorary Senior Clinical lecturer at Sheffield University. Previously she was worked at Leeds Teaching Hospitals NHS Trust from 2001 to 2016.

Dr Ferriman is a member of the Royal College of Obstetricians and Gynaecologists (RCOG) and British Maternal and Fetal Medicine Society (BMFMS), British Medical Ultrasound Society

(BMUS), and British Association of Perinatal Medicine (BAPM). She is also a member of the Medical Defence Union (MDU) and British Medical Association (BMA). She is an instructor for the Management of Obstetric Emergencies and Trauma (MOET) and set up the Leeds Centre in 2013.

She has trained in Medico-legal reporting and regularly acts as an expert for a range of Law firms. She has trained on the Bond Solon Medical Expert Courses including Medical Expert reporting and Courtroom skills and is on the UK Register of Expert Witnesses and is a member of The Society of Expert Witnesses (SEW). In addition she is a medical expert for the General Medicine Council's Fitness to practise panel. She is now the Secretary General of the British Society of Biopsychosocial Obstetrics and Gynaecology.

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