n (%) | |
Neglecting to supervise fetal well-being | 173 (98) |
No CTG recording after admission test | 12 |
Uninterpretable CTG recordings (poor quality) | 41 |
No fetal blood sampling (FBS) despite a clear indication | 100 |
No follow-up of previous FBS despite non-assuring CTG | 20 |
Neglecting signs of fetal asphyxia | 126 (71) |
More than 45 minutes from onset of pathological CTG to birth | 126 |
Increasing intravenous oxytocin infusion despite pathological CTG* | 126 |
Hyperstimulation of uterine contractions† | 61 |
Malpractice around delivery | 92 (52) |
Time from decision on delivery to birth exceeded 30 minutes | 44 |
Spontaneous vaginal delivery despite longstanding (>45 minutes) pathological or uninterpretable CTG recordings | 48 |
Traumatic instrumental delivery | 44 |
Inadequate trial of labour | 25 |
Too much time using the vacuum extractor to deliver (>20 minutes)‡ | 19 |
*Defined according to FIGOS classification and the Krebs intrapartum fetal heart rate scoring system (6).
†Six or more uterine contractions/10 minutes for >20 minutes
‡Four had more than two cup detachments with vacuum extractor