![]() ![]() Prematurity is one of the most important risk factors for developing cerebral palsy. We designed a population-based case-control study including the seven delivery units of Stockholm County, encompassing around 24% ( n = 74 539) of all births in Sweden ( n = 309 140) during the years 2004–2006. With the overall aim of improving the safety of patients during labour, we have more specifically focused on factors related to the following points. To increase our knowledge of the occurrence of substandard care during labour, we have investigated factors related to substandard care and the risk of a low Apgar score at 5 minutes. 2 – 4 Based on these results, we hypothesised that infants with a low Apgar score are more frequently subjected to substandard care during labour than infants with a full Apgar score. ![]() 1 Several recognised risk factors for asphyxia have also been found to be associated with asphyxia related to substandard care during labour. In infants considered to have suffered from severe asphyxia as a result of substandard care during labour, we have previously found the most common causes to be: neglecting to supervise fetal wellbeing, neglecting signs of fetal asphyxia, incautious use of oxytocin and choosing a non-optimal mode of delivery. ![]() The frequency of substandard care during labour in Sweden is unknown, as is the number of infants injured at birth as a result of substandard care, with the exception of the 20–50 annual claims for financial compensation relating to severely asphyxiated infants. A small, but nonetheless too large, proportion of patients experience adverse events in the hands of healthcare workers. ![]()
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