Abstract

Presentation of a case of preventable adverse event in a pregnant patient in the process of childbirth, which is attended by a twitching obstetrician, causing the newborn to fall at the time of delivery. The anesthesio­logist at the request of the obstetrician decides not to report the adverse event and asks the professional nurse to keep silent about it. Before the refusal of this and its recrimination, the anesthesiologist defends his performance, the argument that obeys the medical association that he must practice. The case analysis is carried out clarifying the meaning and scope of this figure.