Obstetricians & Gynaecologists
Obstetrics and Gynaecology
General description of the work of a Consultant
Obstetrician & Gynaecologist
The Consultant Obstetrician & Gynaecologist deals with
pregnancy, labour and delivery as well as ectopic pregnancy,
Caesarian sections, forceps and vacuum delivery,
miscarriages, terminations (abortions), sterilisations and
infertility. He/She also deals with cervical cancer, tumours
of the ovaries, endometriosis, hysterectomies, vaginal
surgery and failed contraception.
Most common clinical areas / procedures leading to a claim
of clinical negligence
• prolonged or problematic labour leading to birth hypoxia
in the newborn baby
• problems following Caesarian section or following forceps
or vacuum delivery
• failed sterilisation
• brachial plexus injury following shoulder dystocia
• problems in the ante natal period such as pre-eclamsia
• bladder or bowel or ureter injury during gynaecological
• complications of hysterectomy operations
• problems with infertility treatments
• complications of twin pregnancy
Sub-Specialities / Alternative and Additional job titles
The Consultant Obstetrician & Gynaecologist may be known as
a Consultant in Obstetrics and Gynaecology. He/She may be
known simply as an Obstetrician if most of his/her work is
in dealing with pregnancy, or as a Gynaecologist if most of
his/her work is non-pregnancy related gynaecology. If most
of his/her work is in the field of infertility then he/she
may be known as a Fertility Specialist.
The Consultant Obstetrician & Gynaecologist will have MRCOG
or FRCOG (Membership or Fellowship of the Royal College of
Obstetrician and Gynaecologists) after his/her name.
The Consultant Obstetrician & Gynaecologist may be a
Lecturer or Professor in Obstetrics and Gynaecology at a
Medical School. He/She may be an Examiner for the Royal
College of Obstetricians and Gynaecologists.
The Consultant Obstetrician & Gynaecologists who prepare
reports on medical negligence cases on our behalf are all
experienced NHS Consultants. They are in active clinical
practice and they are experienced at preparing medico-legal
reports. They are willing to attend Court in the UK and
Ireland provided that they are given enough notice and their
fees and expenses for attending are agreed in advance.
Each of the Consultant Obstetrician & Gynaecologists who
prepare reports on our behalf has particular areas of
clinical interest within his/her practice and we match each
case with the most appropriate Consultant.
The Consultant Obstetrician & Gynaecologists prepare their
Reports for the benefit of the Courts. In other words, they
prepare unbiased Reports in order to help the Court to
decide the case, rather than to help one side or the other.
The Consultant Obstetrician & Gynaecologists examine all the
documentation and details of the case and look at the
standard of care that the Client received. They then give
their opinion on whether or not the standard of care that
the Client received fell below the standard of care he/she
should have received.
Where necessary they provide background documentation and
information to back-up their opinion.
The most important documentation is the Client’s Hospital
Records. This documentation will usually contain their
Doctor’s Records, Operation Records, Nursing Records,
Out-Patient Clinic Records and Correspondence.
There may be ultrasound scans and CTG (cardiotocograph)
tracings as well as X-rays and CT or MRI scans. If these are
related to the event in dispute then copies of these will be
of help to the Consultant Obstetrician & Gynaecologist when
he/she is preparing his/her Report.
An account of events by the Client and/or the Client’s
family will be of assistance to the Consultant Obstetrician
& Gynaecologist. Copies of the Client’s Attendances with
their Solicitor will also help to clarify the areas of care
that are at issue in the case.
Time-scale for the Report
Once we have confirmation to proceed with the Report the
Consultant Obstetrician & Gynaecologist can usually prepare
his/her Report within 8 to 10 weeks. If a Report is needed
urgently we will endeavour to have it prepared sooner than
Price of the Report
Once we receive all the documentation we will provide you
with a quotation for the price of the Report from the
Consultant Obstetrician & Gynaecologist. If you decide to go
ahead with the Report we will have it prepared and we will
forward it to you on receipt of payment.
If you decide not to go ahead with the Report after
receiving the quotation we will return all the documentation
to you and there is no charge.
Queries on the Report / Addendums
The Reports from the Consultant Obstetricians &
Gynaecologists are usually very clear and give a concise
opinion on the standard of care the Client received.
If minor clarifications are needed then these will be
provided at no extra cost.
If, after the Report has been completed, additional
documentation needs to be examined by the Consultant
Obstetrician & Gynaecologist or if additional work needs to
be done in order to provide an Addendum to the Report, then
there may be an additional charge. If so, we will inform you
of this and only proceed with your approval.
The Consultant Obstetrician & Gynaecologists do not normally
need to see the Client in order to prepare a Report on the
standard of care he/she has received. They can usually
prepare their Report from the case notes and other
If the case does progress and a Report is needed on the
Client’s current medical condition and/or prognosis for the
future, then it is likely that the Client will need to see
the Consultant Obstetrician & Gynaecologist for an
examination and we can make the necessary arrangements.