Litigation in Infections of Obstetrics and Gynecology

A 28-year-old female Native American Indian, in her third trimester of pregnancy (34 weeks), presented to an isolated, stand-alone medical center serving the local community (Indian Reservation) at 6 p.m. on a Sunday evening. This center serves the dual purpose of medical clinic and emergency facility. Available teleconsultation and transportation to a tertiary care center via air ambulance were accessible 24 h/day. Normally, air ambulance transfer to a distant tertiary care hospital can be accomplished within 3–4 h after notification by phone.