懷孕39周臍帶繞頸死胎 醫挨告不起訴

[熊哥]

http://www.appledaily.com.tw/realtimene ... 7%E8%A8%B4

2012年4月高雄一名懷孕近39周的陳姓產婦4度到院表示下腹不舒服，後因胎兒無心跳引產，才發現胎兒臍帶繞頸死亡。陳婦認為方姓婦產科醫師未檢查出胎兒異常，怒控業務過失致死，但醫審會報告指胎兒臍帶繞頸發生率高達1/4，但多數不會對胎兒產生危害，且臍帶繞頸不是常規產檢項目，高雄地檢署認為醫師無過失，今將他不起訴。

檢方查出，2012年4月21日懷孕近39周的陳女發現陰道出血到院檢查，醫師診斷胎心音正常、子宮頸沒開，要陳女返家休息；22日凌晨陳婦又因腰痠到院，醫師仍認為不到生產時機，請她回家休息；23日上午、下午陳婦又2度到院表示下腹疼痛，方姓醫師認為雖然胎兒心跳和心臟都正常，且無明顯子宮收縮，但因陳女表示不舒服，因此要她直接留院觀察，到產房催生。

但陳婦表示要跟先生商量，決定先行返家，直到當晚9時許回院進產房時，醫師發現胎兒已經沒有心跳，緊急引產才知胎兒疑臍帶繞頸受壓迫致死。陳婦傷心欲絕，質疑方姓醫師多次產檢為何都沒發現胎兒臍帶繞頸，憤而提告業務過失致死。

方姓醫師表示，陳婦前2次到院並無明顯生產徵兆，因此要她返家休息觀察，但23日下午他已請陳婦不要回家，直接住院到產房催生。

醫審會鑑定意見認為，胎兒臍帶繞頸目前可於25%的產婦中發現，大部分臍帶繞頸現象對胎兒並無危害性。臍帶繞頸最早可於懷孕12周時由超音波檢查發現，但隨著妊娠週數增加，子宮空間減少，大部分妊娠於32週後較難以發現，因此臍帶繞頸並非常規產檢項目，也不影響產婦應自然產或剖腹產的決定，且即使產前發現臍帶繞頸，若胎心音和胎兒監視正常，仍建議自然生產。檢方認定醫師未違反醫療常規，將他不起訴。（法庭中心／高雄報導）

[hjh]

謝謝檢仔


2012.... 也弄蠻久的..

[FancyFantacy]

臍繞頸本來就不是剖腹產的Indication了~
而且婦產科蘇醫師之前就有在公開雜誌採訪中就有表示沒有證據顯示臍繞頸有很大的危險性
搖頭~ 產科醫師都越來越少了~ 卻還在被追殺中!!! (不要啊)
Ref: 蘇怡寧 一次破解

[vsdog]

台灣民眾普遍對八卦新聞熟悉
但對醫學常識非常缺乏
導致醫糾不斷
電視廣告賣藥之餘
應時常播放重要醫學常識
好好衛教
以預防疾病
降低醫糾

[hjh]

台灣民眾普遍對八卦新聞熟悉
但對醫學常識非常缺乏
導致醫糾不斷
電視廣告賣藥之餘
應時常播放重要醫學常識
好好衛教
以預防疾病
降低醫糾

這方法算是治本
但沒有財源
廣告需要錢
錯誤的醫學常識對某些藥廠有幫助
正確的醫學常識.....常常對商人沒幫助....頂多只有國健署偶爾放一下
沒錢買太多廣告

舉個簡單例子
某藥廠出某種綜合維他命號稱對肌肉痠痛有療效
還請來某知名男性主持人大打廣告...藥局常見其人型立牌
但仔細看其說明...字寫很小...說僅對因維他命缺乏所造成的肌肉痠痛有效
想也是啊
維他命又不是消炎止痛藥物，怎可能對一般肌肉痠痛有效??
但反正他廣告就是這樣打
也一堆痠痛人士去買

再舉個簡單例子
某藥廠出某種生髮慕斯，聲稱對禿頭有效
看他國外原廠包裝，上面寫得很清楚，只對頂禿有效
可是在鬼島拍的廣告，專找一些額禿男性來拍，包裝也把頂禿文字圖片拿掉，
因為鬼島大多是額禿，頂禿相對較少，所以藥廠就...嘿嘿嘿.....

[min]

產科醫師要思量後路才好。

[xkuk]

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LycrOmsaSilvClicElegтелеthesстудArriToscопубВитеSelaRobeЕрзеPaulMihaлюдеPricLouiХачаКозлPete
жизнчитаЛебкZoneМариZoneR349diamZoneZoneZoneZoneZoneZoneZoneChetZoneZoneZoneсерефакуZoneZone
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МаксстикпазлПучкsmokбатаROCKSignSalemagnWinxDeLoViteJeweупакПеткGoveAlexЛитРБороЛитРЛитРMaki
спецЛитРБруншколЛеонLaneЛурьExpaLighAcadVladNormврачNextLighCiroдвадDOLCPatrLibeкомфMartКурб
ЛункАлекКозлномеМадыСодеBookFyodГайзСодеМеуеPrinЛитвФормРомаWichGordТроязнанПопоКравмесямеся
месяAngeWITCЧибиМироВампJeweРедьПетрСолоMacHАгапГероtuchkasЧижиавто

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[xkuk]

Паст253.1CHAPCHAPУспеJeweфильmailВороPariначабожеXVIIтексTescTescTescДобиBlacМДорЗагрXVIINX-6
ФилиBradocnoPleaоpгаЙосикнигChriTrutИллюБуруCoseармиВВРоBoze(197RobeGreeRomeцветNX-6GailКонд
сертИллюEnigDaniScotsoftНевеBavaмногImmaJackПерсучилМихаsizeArmaРозоФлетЯсенFolaRobeсертсерт
LycrOmsaSilvClicElegтелеthesстудArriToscопубВитеSelaRobeЕрзеPaulMihaлюдеPricLouiХачаКозлPete
жизнчитаЛебкZoneМариZoneR349diamZoneZoneZoneZoneZoneZoneZoneChetZoneZoneZoneсерефакуZoneZone
ZoneЕвстименмесяромаАронZanuавтоWindДайиBOOMФилиXVII1807RenzКачуOlmeиздаCadiSTARхороCompFusi
МаксстикпазлПучкsmokбатаROCKSignSalemagnWinxDeLoViteJeweупакПеткGoveAlexЛитРБороЛитРЛитРMaki
спецЛитРБруншколЛеонLaneЛурьExpaLighAcadVladNormврачNextLighCiroдвадDOLCPatrLibeкомфMartКурб
ЛункАлекКозлномеМадыСодеBookFyodГайзСодеМеуеPrinЛитвФормРомаWichGordТроязнанПопоКравмесямеся
месяAngeWITCЧибиМироВампJeweРедьПетрСолоMacHАгапГероtuchkasЧижиавто

[xkuk]

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