The 33-year-old mother died hours after giving birth after medics made “grave” mistakes

SERIOUS mistakes by senior staff at a West Yorkshire hospital led to the death of a first-time mother just hours after giving birth, an inquest has found.

Jade Hart, who is originally from Pontefract, gave birth to their son, Hugo, just after 10pm on July 8, 2018 at Bassetlaw Hospital in Worksop.

Jade Hart died just hours after giving birth to her son after medics made


Jade Hart died just hours after giving birth to her son after medics made “extraordinarily bad” mistakes, an inquest has foundCredit: BPM
She tragically left behind her baby boy and husband Richard Hart


She tragically left behind her baby boy and husband Richard HartCredit: BPM

But hours later, she tragically died after suffering uterine inversion – a rare complication in which the uterus partially or fully inverted.

An inquiry at the Nottingham Coroner’s Court has found this to be due to errors made by one of her doctors and a midwife at the hospital.

The 33-year-old had her umbilical cord pulled at least four times by a doctor when her placenta failed to detach.

The deputy forensic pathologist Dr. Elizabeth Didcock called the action a “very serious neglect of care” which resulted in Ms Hart’s death.

A report issued at the inquest indicated that the mother had suffered multiple cardiac arrests and would not have died had it not been for the uterine inversion.

The investigation also found that mismanagement of persistent bleeding also contributed to her death, as regular check-ups were not performed in the hours leading up to her death.

She had reportedly lost at least 5.5 liters of blood and eventually suffered organ failure and brain damage, with neglect contributing to her death.

These individual errors could not have been foreseen by the Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, the inquiry found, and they were instead due to a failure to follow guidelines.

The trust allegedly responsible has since been criticized by the coroner for a report it leaked to medical bodies following Ms Hart’s death.

After the inquest, Julie Hazelgrave, Jade’s mother, paid tribute to her “wonderfully kind and caring” daughter, who had “a great zest for life.”

She said: “In July 2018, Jade walked into Bassetlaw Hospital with her husband full of excitement and anticipation of the birth of their baby.

“Jade had a perfect life and marriage and when her son was born I saw that Jade was happier than ever.

“Cruel all happiness was short-lived as Jade collapsed within an hour of birth and died in the immediate hours after.

“We remain devastated at the loss of Jade. Her death cast a long shadow over our lives and our world has changed irrevocably. We miss Jade every day and always will.”


A respected expert who conducted an independent review of Ms Hart’s death and its circumstances concluded that Jade’s doctor had breached his duty of care – and her actions fell “well below” what was expected of them.

They added that it was a “really exceptionally bad” decision that would result in a “serious risk of death.” The same expert also concluded that the mismanagement of Ms. Hart’s bleeding also constituted a gross dereliction of duty.

Ms Hart is believed to have been long before the incident, but had high blood pressure before labor was induced.

Before the birth, Ms Hart had requested an epidural which was refused for fear of her high blood pressure – the investigation concluded that this request should have been granted and would have offered her some pain relief.

dr Didcock told the Inquiry: “Serious omissions have resulted in insufficient learning and no acceptance that this had caused serious suffering to the family.

“This poses a risk of similar deaths occurring in the future. I’m not sure the necessary action has been taken.”

She told the family: “I am so sorry for your loss. I also hope that lessons will be learned that will lead to improvements in care.”

Jade Hart’s cause of death was reported as brain injury, multiple cardiac arrests, and uterine inversion from improper treatment during stage three labor.

The Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust has been contacted for comment. The 33-year-old mother died hours after giving birth after medics made “grave” mistakes

Sarah Y. Kim

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