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Chapter 17 - The Cervix: The Nemesis of Obstetrics and Gynaecology

Published online by Cambridge University Press:  22 April 2022

Swati Jha
Affiliation:
Royal Hallamshire Hospital, Sheffield
Eloise Power
Affiliation:
Sergeants’ Inn, London
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Summary

Ms Scaddon was reviewed by the consultant gynaecologist on the independent sector for heavy bleeding. She claimed that owing to his failure to detect a fibroid protruding through the cervix at the time of the primary consultation, there was an unnecessary delay in further investigations and treatment. It was also claimed that she should have been referred for a hysteroscopy urgently, which would have culminated in the performance of her hysterectomy seven months earlier than when it was finally performed. This unnecessary delay caused her to suffer continuing physical symptoms and develop a generalised anxiety disorder.

Type
Chapter
Information
Lessons from Medicolegal Cases in Obstetrics and Gynaecology
Improving Clinical Practice
, pp. 217 - 226
Publisher: Cambridge University Press
Print publication year: 2022

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References

Yao, W, Gan, Y, Myers, KM, Vink, JY, Wapner, RJ, Hendon, CP. Collagen fiber orientation and dispersion in the upper cervix of non-pregnant and pregnant women. PLoS One 2016; 11(11): e0166709.Google Scholar
Royal College of Obstetricians and Gynaecologists (RCOG). Best Practice in Outpatient Hysteroscopy. Green-top Guideline No. 59. 2011. Available at: www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg59/Google Scholar
National Institute for Health and Care Excellence. Inducing Labour. Clinical Guideline [CG70]. 2008. Available from: www.nice.org.uk/guidance/cg70Google Scholar
World Health Organization. Induction of Labour Guideline. 2011. Available from: www.who.int/reproductivehealth/publications/maternal_perinatal_health/9789241501156/en/Google Scholar
National Institute for Health and Care Excellence. Abortion Care. NICE Guideline [NG140]. 2019. Available from: www.nice.org.uk/guidance/ng140/chapter/Recommendations#cervical-priming-before-surgical-abortionGoogle Scholar

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