Tafakkur Academy | Ilmiy nashr

REGIONAL AND AGE BASED PATTERNS OF MEDICAL ERRORS IN OBSTETRIC AND GYNECOLOGICAL PRACTICE: A RETROSPECTIVE ANALYSIS OF COMMISSION FORENSIC MEDICAL EXAMINATION REPORTS FROM UZBEKISTAN, 2020–2024

Muallif: J.K. Kalandarov
Sana : 16.02.2026
Jurnal : 2026-yil, 2-son
2026-yil, 1-son

Objective: To refine the forensic medical criteria for assessing defects in obstetric
and gynecological care.
Materials and Methods: A retrospective analysis of commission forensic medical
examination reports from the Republican Scientific-Practical Center of Forensic
Medical Examination (branches in the Khorezm and Bukhara regions, the Republic
of Karakalpakstan, and the city of Tashkent) was conducted for the period 2020
2024. A total of 150 commission cases were reviewed, of which 40 confirmed
iatrogenic cases were selected for detailed analysis. Data were processed using
Microsoft Excel 2007/2010, Microsoft Word, and STATISTICA for Windows.
Descriptive statistical methods and Fisher’s exact test were applied to assess regional
differences.
Results: Among the 40 identified iatrogenic cases, errors occurred at surgical,
therapeutic, diagnostic, and preventive stages of care. Regional distribution was as
follows: Khorezm region (n=14), Bukhara region (n=6), Republic of Karakalpakstan
(n=12), and Tashkent (city and region combined; n=8). Age distribution showed the
highest frequency in the 31–40-year age group (n=18), followed by 21–30 years
(n=12), 41–50 years (n=7), and 51–60 years (n=3). Regional differences were
statistically significant according to Fisher’s exact test (p<0.05).
Conclusions: Medical errors in obstetric and gynecological practice remain a
clinically and forensically significant source of iatrogenic pathology. The highest
incidence was observed in the 31–40-year age group, with significant regional
variation. These findings highlight the need to strengthen professional training,
ensure strict adherence to diagnostic and treatment standards, implement systematic
monitoring, and conduct structured root-cause analysis to reduce iatrogenic events
and improve patient safety.

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