Reproductive losses: "the doctors’" cases, expert assessment of unfavorable obstetric outcomes, responsibility, prospects for the development of juridical practice

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Abstract

Objective of the study – to familiarize practicing obstetricians/gynecologists with the criteria of criminal, civil, and administrative responsibility for adverse outcomes of medical care and related reproductive losses; to show how it is possible to avoid repeating other people's mistakes; to "analyze" the most striking clinical cases of maternal and perinatal mortality through the eyes of a lawyer and a doctor at the same time; to demonstrate positive and negative foreign experience, to look into the future and to search for the best way to develop legislation (in a broad sense, including clinical recommendations) and judicial practice. When writing this paper, the authors used open sources of publication of impersonal court decisions: databases of the state automated system "Justice" (https://bsr.sudrf.ru/bigs/portal.html), the portal "Judicial and regulatory acts of the Russian Federation" (https://sudact.ru), the legal reference system "Consultant plus". The selected court decisions were evaluated according to their informative value for the medical community, the accuracy and completeness of the reflection of medical documentation, the topical belonging to obstetric issues. The literature sources were sought for, by using the Russian and foreign electronic libraries (https://www.elibrary.ru), Elsevier (https://www.elsevier.com), PubMed (https://pubmed.ncbi.nlm.nih.gov).

Conclusion: Within the framework of the stated topic, the authors do not pretend to provide detailed coverage of all aspects of the raised problem and they propose together with the participants of the First International Congress “The Right to Life” held at the V.I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation on April 18–20, 2023, to continue a frank conversation about medical errors and their consequences on the largest scientific platforms and, above all, with the participation of the medical community.

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About the authors

Elena A. Mateykovich

Tyumen State Medical University, Ministry of Health of the Russian Federation; Perinatal Center

Author for correspondence.
Email: mateykovichea@tyumsmu.ru
ORCID iD: 0000-0002-2612-7339

PhD (Med.), Director of the Institute of Motherhood and Childhood, Associate Professor of the Department of Obstetrics and Gynecology; obstetrician-gynecologist

Russian Federation, Tyumen; Tyumen

Maxim S. Mateykovich

The Second Cassation Court of General Jurisdiction; Tyumen State University

Email: m.s.matejkovich@utmn.ru
ORCID iD: 0000-0003-3113-3191

Dr. Sci. (Law), Professor, Chairman of the Judiciary

Russian Federation, Moscow; Tyumen

Igor F. Sholomov

Tyumen State Medical University, Ministry of Health of the Russian Federation

Email: sholomovigor@rambler.ru

PhD (Med.), Adviser to the Administration, Acting Head of the Department of Medical Deontology with the UNESCO Bioethics Network Section

Russian Federation, Tyumen

Tatyana P. Shevlyukova

Tyumen State Medical University, Ministry of Health of the Russian Federation

Email: tata21.01@mail.ru
ORCID iD: 0000-0002-7019-6630

Dr. Med. Sci., Professor of the Department of Obstetrics and Gynecology

Russian Federation, Tyumen

Anastasia V. Abramova

Tyumen State Medical University, Ministry of Health of the Russian Federation

Email: abramova_av23@mail.ru
ORCID iD: 0000-0002-2779-2824

Clinical Resident, Department of Obstetrics and Gynecology

Russian Federation, Tyumen

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