상해/사망
유도분만 중 자궁저부 압박에 의한 산모 늑골 골절 사례

by 손찾사 손해사정사님 · 4 주전조회수 96

<p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">오늘은 한국의료분쟁조정중재원의 조정중재사례를 한번 살펴보겠습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p><p class="0"> <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--> <o:p></o:p></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">유도분만을 하던 중 산모가 늑골</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">갈비뼈</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">골절이 일어난 것인데 어떻게 된 것인지 살펴보겠습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p><p class="0"> <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--> <o:p></o:p></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">분쟁조정을 신청한 신청인</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">산모</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">는 질식분만</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">자연분만</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">으로 남아를 출산하였습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">출산한 그 다음날 갈비뼈의 통증이 있다고 호소하였고</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">약물을 처방받고 퇴원하였으나 통증이 계속 지속된 것입니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">. </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">이에 병원측은 분만 과정에서 자궁저부 압박이 반드시 필요한 상황이었고</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">이 과정에서 늑골 골절은 불가항력적으로 발생하는 합병증이며</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">분만 직후</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">입원 중</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">퇴원 후 정기검진 시 늑골 골절의 가능성과 경과 및 관리에 대해 충분히 설명하였다는 입장입니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p><p class="0"> <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--> <o:p></o:p></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">분쟁조정중재원의 감정 결과</span></p><p class="0"><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">"</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">정상분만이 이루어졌으며</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">이 과정에서 지연이나 오진</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">과실 등은 보이지 않았으며</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">압박으로 인한 늑골골절이 발생하였으나</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">늑골골절은 폐실질이나 폐막이 손상되지 않은 한 보존적 경과관찰이 치료의 원칙이다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">. </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">따라서 조기진단을 하였다고 하더라도 예후가 달라지지는 안늫점 등으로 볼 때 병원의 진단 및 대처가 부적절하다고 보기는 어렵다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">. </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">다만</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">늑골골절 발생으로 출산 후부터 늑골 부위 통증을 호소함에도 충분한 관찰 및 검사가 이루어지지 않아 진단이 지연되었으며</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">관련된 설명이 부적절했다고 사료된다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">."</span></p><p class="0"> <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--> <o:p></o:p></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">또한 의료행위상의 과실과 설명의무 위반이 인정된다고 손해배상책임이 있다고 판단하였습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">. </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">그러나 신청인</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">산모</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">가 주장하는 손해배상금은 인정한 증거가 없다는 점등을 종합적으로 고려하여</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">생활 및 산후 조리 및 육아에 불편이 있었다는 것은 명백함으로 위자료 </span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">150</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">만원의 손해배상책임을 인정하였습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p><p class="0"> <!--[if !supportEmptyParas]-->&nbsp;<!--[endif]--> <o:p></o:p></p><p class="0"><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">이에 당사자 쌍방의 동의하여 </span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">"</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">피신청인</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">병원</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">은 신청인</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">(</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">산모</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">)</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">에게 금 </span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">1,500,000</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">원을 지급하고</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">, </span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">신청인은 이 사건 진료행위에 관하여 향후 어떠한 이의도 제기하지 아니한다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">"</span><span style="font-family:함초롬바탕;mso-fareast-font-family:함초롬바탕;">라고 조정이 성립되었습니다</span><span lang="EN-US" style="mso-fareast-font-family:함초롬바탕;mso-font-width:100%;letter-spacing:0pt;mso-text-raise:0pt;">.</span></p>

    #늑골골절 #분쟁조정 #손해배상책임 #유도분만 #의료과실 #자궁압박

상해·사망·후유장해 /질병·암진단비
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