American journal of obstetrics and gynecology
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Our goal was to evaluate the financial expenditures of the medical-legal tort system on the single largest medical campus in the United States. ⋯ The medical-legal system process in the United States is very long and fraught with many inequities and inefficiencies. It was found that approximately 12% of the medical-legal expenditures of the Detroit Medical Center go to the individual alleged victim after defense and plaintiff attorney fees and costs and administrative costs. The failure of the American health care system could be in jeopardy if the nation's leaders do not reform the process to provide a more cost-effective system.
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Our purpose was to determine what role interpersonal violence as intentional injury plays in the pregnant trauma victim. ⋯ Interpersonal violence during pregnancy is a frequent and increasingly common cause of maternal injury. The inconsistent relationship between Injury Severity Score and serious fetal injury or death is underscored by the loss of 5 fetuses despite an Injury Severity Score of 0.