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Savita Halappanavar: Medical misadventure verdict in inquest Savita Halappanavar: Medical misadventure verdict in inquest
(35 minutes later)
The jury in the inquest into a woman who died in hospital in Ireland four days after suffering a miscarriage has given a verdict of medical misadventure. The jury in the inquest into a woman who died in hospital in Ireland four days after suffering a miscarriage has given a verdict of medical misadventure.
Savita Halappanavar, 31, died in University Hospital Galway last October.Savita Halappanavar, 31, died in University Hospital Galway last October.
Her family claimed she might have survived if she had been given an abortion.Her family claimed she might have survived if she had been given an abortion.
The inquest has heard the cause of death was septic shock and E coli.The inquest has heard the cause of death was septic shock and E coli.
The jury's verdict in the inquest was unanimous.
The coroner, Dr Ciaran MacLoughlin, said the verdict does not imply failings in systems at the hospital contributed to Savita's death.
The jury endorsed the coroner's nine recommendations.
The coroner's first recommendation was that the Irish Medical Council lay out new guidelines on when doctors can intervene to save the life of a mother.
He said the guidelines would remove doubt and fear among doctors and reassure the public.
Other recommendations are that blood samples are always followed up to ensure errors do not occur; that proper sepsis management training and guidelines are available for hospital staff and that there is effective communication between staff on call and those coming on duty in hospitals.
The coroner had also recommended that a dedicated time should be set aside at the end of each shift for this to happen.
He recommended that each hospital in the Irish state has a protocol for sepsis management; that modified early warning score charts are introduced in all hospitals as soon as possible; and that there is effective communication between patients and relatives to ensure they are fully aware of treatment plans.
The other two recommendations are that medical and nursing notes are kept separately and that no additions are made to notes, where the death of a person will be subject to an inquest.