Investigating the Medical Complaints Related to Normal Vaginal and Caesarean Section Delivery

Abstract

Introduction: One of the goals of the health reform program (HRP) which was started in 2014, was normal vaginal delivery (NVD) promotion. Although, HRP has been successful in increasing NVD, it seems medical complaints related to the delivery have been rising during this program. Therefore, this study examined the complaints related to the NVD and cesarean section in 2011 to 2017. Materials and Methods: In this retrospective study, the complaints registered in the field of obstetrics and gynecology surgery in the sub-branch of midwifery, in the Forensic Medicine Organization and the Police Department of Tehran were investigated (before and after the HRP) randomly. Results: The results of this study showed that in 18 cases (16.3%) of the investigated medical complaints, malpractice occurred, 14 cases of which (77.8%) related to before and 4 cases (22.2%) related to after the implementation of the HRP. Conclusion: The results of this study showed that some medical malpractices are avoidable. Health system managers should pay more attention to avoidable malpractice to improve the quality of the services. The results of this study showed that the implementation of the HRP did not cause an increase in the number of registered complaints related to the delivery.

Keywords

• medical complaints
• normal vaginal delivery
• cesarean section