Advances in Obstetric AnesthesiaObstetric Anesthesia Liability ConcernsDAVIES, JOANNA M. MBBS, FRCA; STEPHENS, LINDA S. PhDAuthor Information Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington The authors declare that they have nothing to disclose. Correspondence: Joanna M. Davies, MBBS, FRCA, Department of Anesthesiology & Pain Medicine, University of Washington School of Medicine, Seattle, WA. E-mail: firstname.lastname@example.org Clinical Obstetrics and Gynecology: June 2017 - Volume 60 - Issue 2 - p 431-446 doi: 10.1097/GRF.0000000000000272 Buy Metrics Abstract Obstetric practice carries a high risk of medical liability and involves both obstetricians and anesthesiologists. Analysis of data from the Anesthesia Closed Claims Project database shows an increase in the proportion of anesthesia claims for maternal death and brain damage between the 1990s and 2000 and later, primarily due to hemorrhage. The proportion of claims for newborn brain damage remained unchanged while those for maternal nerve injury and minor injuries decreased. Use of massive transfusion protocols and clinical drills have been shown to improve outcomes from hemorrhage. Good communication and teamwork are critical for reducing obstetric liability. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.