[Legal Compliance of Medical Information in the Case of a Relatively Indicated Secondary Caesarean Section in Obstetric Clinics in Germany - Part I: Status Quo-Survey]. / Rechtskonformität der ärztlichen Aufklärung bei relativ indizierter sekundärer Sectio an geburtshilflichen Kliniken in Deutschland ­ Teil I: Status quo-Erhebung.

INTRODUCTION: In order to guarantee the patient's right to self-determination, in the case of a relative indication for a secondary caesarean section the Supreme Court expects early information about this real treatment alternative and the patient's option to choose the delivery method. The aim of this study throughout Germany was to survey the status quo of legal compliance of the practice of providing information at all German obstetric clinics and a further comparison based on the clinic format. METHODS: All obstetric clinics in Germany were emailed within the context of an anonymous online study using a questionnaire developed on the basis of the BGH judgment of August 28, 2018 (AZ: VI ZR 509/17). Three questions had to be answered cumulatively with "yes" to affirm legal compliance. The responding clinics were divided into six groups based on their format (status as university hospital / other hospitals stratified by number of births per year). RESULTS: 93 questionnaires were analyzed. 14 clinics (15.05%) met the requirements. Clinics with an annual number of births of 1,000-1,499 perform best in comparison. CONCLUSION: There is an urgent need for a secure, legally compliant information concept for everyday birth practice in German clinics.

[Legal Compliance of Medical Information in the Case of a Relatively Indicated Secondary Caesarean Section in Obstetric Clinics in Germany - Part II: New Information Concept]. / Rechtskonformität der ärztlichen Aufklärung bei relativ indizierter sekundärer Sectio an geburtshilflichen Kliniken in Deutschland ­ Teil II: Neues Aufklärungskonzept.

INTRODUCTION: The avoidance of liability cases for birth defects due to medical information errors is in the urgent interest of obstetric clinics in Germany. The aim of this study throughout Germany was to have a newly developed information concept with regard to the frequent situation of the relatively indicated secondary caesarean section evaluated by the obstetric clinics in Germany as to its usefulness in practice and to analyze response behaviour on a comparative basis. METHODS: All obstetric clinics in Germany were contacted within the context of an anonymous online study using a specially developed questionnaire and asked to answer 5 questions. The clinics were divided into two comparison groups based on their previous information practices in relation to the use of a general information sheet when registering a birth with a medical information discussion. RESULTS: 93 questionnaires were analyzed. The majority of the clinics (59.14%) attested to the usefulness in practice of the new information algorithm. In the group comparison, there are clear differences in evaluation. CONCLUSION: In their own interest, the clinic operators should strive to provide their doctors with a legally compliant information concept along with the necessary human and material resources.