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[目的]探讨产科医疗纠纷的发生原因及防范措施。[方法]对我院2003年1月～2008年8月产科发生医疗纠纷20例进行分析。[结果]按医疗纠纷发生因素分为医疗过失纠纷和非医疗过失纠纷,20例医疗纠纷中非医疗过失纠纷12例,医疗过失纠纷8例;20例医疗纠纷中有11例行剖宫产术。产科医疗纠纷发生与责任心不强、法律意识薄弱、技术水平不高、医患沟通、医院感染、剖宫产指征掌握有很大关系。[结论]防范医疗纠纷应做到增强法律意识,规范病历书写,加强技术培训,密切医患关系,控制医院感染。
[Objective] To investigate the causes and prevention measures of obstetric medical disputes. [Methods] Twenty cases of medical disputes in obstetrics from January 2003 to August 2008 in our hospital were analyzed. [Results] Divided into medical malpractice disputes and non-medical malpractice disputes according to the factors of medical disputes, 12 cases of non-medical malpractice disputes in 20 cases of medical malpractice and 8 cases of medical malpractice disputes; 11 cases of cesarean section in 20 cases of medical malpractice . Occurrence of obstetric medical disputes and sense of responsibility is not strong, weak legal awareness, technical level is not high, communication between doctors and patients, nosocomial infections, cesarean indications have a lot to grasp. [Conclusion] Prevention of medical disputes should enhance legal awareness, standardize medical records writing, strengthen technical training, close relationship between doctors and patients, and control of hospital infection.