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NHS Highland apologises to dead girl's family | NHS Highland apologises to dead girl's family |
(40 minutes later) | |
Hospital staff failed to give adequate care and treatment to a baby and her parents before and after the infant's death, a watchdog has said. | Hospital staff failed to give adequate care and treatment to a baby and her parents before and after the infant's death, a watchdog has said. |
The Scottish Public Services Ombudsman said bad decision-making and delays had been a mark of the the girl's unplanned birth at home. | |
It added there had been time to get the 40-year-old woman, whose baby was in the breech position, to hospital. | It added there had been time to get the 40-year-old woman, whose baby was in the breech position, to hospital. |
NHS Highland said it had made a "personal and unreserved" apology. | NHS Highland said it had made a "personal and unreserved" apology. |
In a newly-published report, the SPSO said the health board had failed to provide adequate advice, care and treatment before and during the baby's birth in October 2009. | |
NHS Highland also did not provide proper care and treatment to the child's parents after the girl died, the ombudsman said. | NHS Highland also did not provide proper care and treatment to the child's parents after the girl died, the ombudsman said. |
The report said the couple, who have not been named, had gone on to suffer post traumatic stress. | The report said the couple, who have not been named, had gone on to suffer post traumatic stress. |
The SPSO said a "series of opportunities were missed" in the care of the mother and baby. | |
The report said the woman, who wanted to deliver her baby in Raigmore, was not examined properly during the antenatal period. | The report said the woman, who wanted to deliver her baby in Raigmore, was not examined properly during the antenatal period. |
She was also not advised to make her way to Inverness - an hour and 15 minutes drive south from her home - after telephoning the hospital to say her waters had broken. | She was also not advised to make her way to Inverness - an hour and 15 minutes drive south from her home - after telephoning the hospital to say her waters had broken. |
The report went on to criticise midwives for not being alert to the possibility of a breech birth, and for a "bad decision" not to transfer the woman to hospital when labour was established. | The report went on to criticise midwives for not being alert to the possibility of a breech birth, and for a "bad decision" not to transfer the woman to hospital when labour was established. |
'Devastating consequences' | 'Devastating consequences' |
The woman first alerted Raigmore Hospital that her waters had broken at 03:55. | The woman first alerted Raigmore Hospital that her waters had broken at 03:55. |
The baby was eventually delivered at home at 14:00, but no heart beat was found and the infant was taken by helicopter to Raigmore where staff declared the girl dead. | The baby was eventually delivered at home at 14:00, but no heart beat was found and the infant was taken by helicopter to Raigmore where staff declared the girl dead. |
NHS Highland chief executive, Elaine Mead, said it was a "tragic case with devastating consequences". | NHS Highland chief executive, Elaine Mead, said it was a "tragic case with devastating consequences". |
She added: "I offer my personal and unreserved apology and sincere condolences to the family. | She added: "I offer my personal and unreserved apology and sincere condolences to the family. |
"I will continue to lead and support colleagues, to ensure, as far as possible that something, like this can not happen again." | "I will continue to lead and support colleagues, to ensure, as far as possible that something, like this can not happen again." |
Meanwhile, a patient who was told she was dying and given the last rites, but who went on to make a full recovery, has had her complaint upheld by the SPSO. | |
The ombudsman said there was "no doubt' that the experience had had a profound and lasting impact on the woman and her husband, who wish to remain anonymous. | The ombudsman said there was "no doubt' that the experience had had a profound and lasting impact on the woman and her husband, who wish to remain anonymous. |
The SPSO went on to criticise NHS Western Isles for saying that a review had been carried out, when the findings of this review had not been passed to all staff. |
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