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Reducing Brain Damage in Babies: Ethical Study on CTG Interpretation

This study discusses the ethical and humanitarian problem of avoidable brain damage in babies, with 20-25% of costs covered by Medical Injury Insurance. Focus is on CTG interpretation, oxytocin use, and optimal delivery methods. Research by Karolinska Institutet identified 177 avoidable cases. The responsibility for change lies with obstetricians, neonatologists, and midwives. A self-assessment tool with 20 questions will help secure proper CTG interpretation and oxytocin administration. Economic incentives offered by insurance companies include paid scientific studies, with departments receiving financial rewards upon improvement. A web-based test for doctors and midwives will be developed in 2008 to enhance CTG interpretation skills.

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Reducing Brain Damage in Babies: Ethical Study on CTG Interpretation

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  1. How to reduce the number ofbrain damaged babies Kaj Essinger, CEOSwedish Medical Injury Insurance Kaj.essinger@patientforsakring.se + 46 70 583 91 20

  2. Study on avoidablebrain damaged babies Ethical and Humanitarian problem 20-25 % of costs for Medical Injury Insurance

  3. CTG-interpretation Oxytocin Non optimal mode of delivery Resuscitation Study on 177 avoidable brain damaged babies A research group from Karolinska Institutet

  4. CTG (Cardiotocographi) • CTG- How to interpret correct and in right time ?

  5. The medical professions take responsibility for change • Obstetricians • Neonatologists • Midwives

  6. The medical professions take responsibility for change • Self assessment tool with 20 questions: How do you secure that your staff can interprete CTG? How ….Oxytocin? How … • Peer review • Plan for improvement

  7. Economic incentives from the insurance company • Paid scientific study:one researcher > 3 years • 5 000 Euro to departments when they start • 15 000 Euro to departments when they have fullfilled most of improvement plan

  8. How will you secure that your staff can interpret CTG-curves? • Web based test for doctors and midwives will be developed 2008

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