A C TA Obstetricia et Gynecologica Letters to the Editor

Reply: Obstetric injury claims are not happening at random; the size of the labor unit matters

Sir We thank AOGS for the possibility to address some of the issues raised by Nielsen and Clausen. We are convinced that patient claims do not only appear at random, and we judge that our study has shown this. Families involved in preventable major obstetric injuries most likely draw the same conclusion. The perfect parameter to measure obstetric patient safety does not exist. The aim of the study “The size of the labor wards: is bigger better when it comes to patient safety?” (1) was to assess any possible relation between the size of the labor units in Denmark and the frequency of approved claims. Our key finding showed that large labor units (3000–3999 deliveries/year) had a lower approval rate per number of submitted claims compared with small (

Reply: Obstetric injury claims are not happening at random; the size of the labor unit matters.

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