@article{oai:hama-med.repo.nii.ac.jp:02000088,
 author = {飯嶋, 重雄 and IIJIMA, Shigeo},
 issue = {1},
 journal = {浜松医科大学小児科学雑誌, Hamamatsu Journal of Pediatrics},
 month = {Mar},
 note = {平成時代（1989〜2019年） における新生児関連の医療訴訟を昭和後期の13年間（1975〜1987年）と比較するとともに，新生児への対応を争点とする事例を分析した．
訴訟の過半数を占めた疾患は，昭和後期では未熟児網膜症，平成では新生児仮死であった．
平成時代の事例分析：ビリルビン脳症は，全ての事例で医療側の過失が認定されていた．新生児メチシリン耐性ブドウ球菌（MRSA）感染症では，原因菌同定前でも抗MRSA薬の投与義務ありと判示した事例があった．脳室周囲白質軟化症では，出生後の呼吸管理との因果関係や家族への報告・説明の遅れと後遺障害との因果関係を認めた事例があった．新生児急変では，うつぶせ寝関連は全て患者側勝訴，母子早期接触および母子同室関連は全て医療側勝訴であった．呼吸障害関連では，検査・治療の適応について医師の裁量を認めた事例が多いものの，「新生児学的にみて絶対適応」は裁量の範囲外と判示するものも見られた．, This study compared neonatal-related medical lawsuits in the Heisei era (1989-2019) with those in the late Showa era (1975-1987). In particular, cases involving lawsuits pertaining to neonatal care that were filed in the Heisei era were extracted and analyzed.
In the late Showa era, retinopathy of prematurity accounted for the majority (54%) of neonatal-related lawsuits, whereas in the Heisei era, the majority (53%) of neonatal-related lawsuits were associated with neonatal asphyxia. In the Heisei era, 33 lawsuits dealt with neonatal care, and patients won in 19 (59%) of these cases. All lawsuits associated with bilirubin encephalopathy cited medical negligence in duties to closely follow up with bilirubin tests and provide appropriate instructions to see the doctor. In some cases of neonatal methicillin-resistant Staphylococcus aureus (MRSA) infection, the court ruled that the patient was obligated to receive anti-MRSA medication even before identification of the causative organism. In a case of periventricular leukomalacia (PVL), a causal relationship between postnatal respiratory management and PVL was found, as well as a causal relationship between delayed disclosure of the patient’s PVL to the family and a subsequent diagnosis of cerebral palsy. In cases involving a neonatal life-threatening event, patients won all cases related to prone sleeping position. Medical personnel won all cases related to early skin-to-skin contact for mothers and their neonates and all cases related to rooming-in. In many cases regarding respiratory disorders, directives about examination and treatment were left to the physician's discretion, but in some cases, something considered “absolutely appropriate from a neonatological point of view” fell outside the scope of discretion.
Medical personnel should always consider the conditions that indicate the need for examination and therapeutic intervention and the content and timing of explanations to families regarding various neonatal diseases.},
 pages = {10--20},
 title = {平成時代における新生児診療に関する医療訴訟の分析},
 volume = {4},
 year = {2024}
}