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ISSN: 2637-4722

Progressing Aspects in Pediatrics and Neonatology

Editorial(ISSN: 2637-4722)

Medico-legal implications of Neonatal Cerebral Palsy and the responsibilities of modern Obstetric-Neonatal Unit

Volume 1 - Issue 4

George Gregory Buttigieg KM*

  • Author Information Open or Close
    • Senior Obstetrician and Gynecologist, University of Malta, Europe

    *Corresponding author: George Gregory Buttigieg, MD, LRCP(Eng.), MRCS(Lond.), MA(Melit.), Dip.FP, FRCOG, FRCPI, Senior Obstetrician and Gynecologist, University of Malta, Europe

Received: May 01, 2018;   Published: May 17, 2018

DOI: 10.32474/PAPN.2018.01.000118

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Abstract

Modern medico-legal evaluation of Neonatal Cerebral Palsy (NCP) demands recognition of Neonatal Hypoxic Ischaemic Encephalopathy (NHIE) as an indispensable proof of peri-partum fetal hypoxia. Without proven NHIE, modern jurisprudence should not even consider obstetric/paediatric liability of causative peri-partum hypoxia of negligence on the grounds of medically responsible fetal/newborn hypoxia leading to Cerebral Palsy. Peripartum hypoxia, which comprises intra-partum hypoxia may result in damage which may with varying degrees of time manifest itself with epilepsy, neuro-developmental delay, cognitive impairment or Cerebral Palsy and the full damage may not be completely assessable before 3-4 years of age. Court cases alleging obstetric/ neonatologist liability may not commence for a number of years, at times even decades after he birth.

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