A “kind and caring” mother died just hours after giving birth because a doctor neglected her and made “really exceptionally bad” decisions, an inquest concluded.
Jade Hart, 33, had a “perfect life and marriage” and was “filled with excitement and anticipation” for the birth of their son Hugo on July 8, 2018.
She went into labor at Bassetlaw Hospital in the town of Worksop, Nottinghamshire and died in the early hours of July 9.
That’s partly because the doctor pulled on Mr Hart’s umbilical cord at least four times before her placenta detached, the Nottingham coroner ruled.
This would have resulted in a “serious risk of death” and was “a very serious omission of care,” Assistant Medical Examiner Dr. Elizabeth Didcock.
In fact, Jade suffered a uterine inversion — in which her uterus turned inside out — and this complication was ultimately the cause of her death.
In addition, Jade struggled with persistent bleeding and lost 5.5 liters of blood.
But this issue was neglected by her doctor and midwife, and eventually Jade suffered organ failure, brain damage, and multiple cardiac arrests before she died.
The Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust (DBTH) investigated the tragedy but left out criticism and analysis from independent investigators.
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 in the future. I’m not sure if the necessary action has been taken.”
However, the inquiry emphasized that the Trust could not foresee the individual failures of my staff at the hospital.
Jade’s mother Julie Hazelgrave said: “Jade was wonderfully kind and caring with a great zest for life.
“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.’
Similarly, Jade’s husband Richard said, “Because Jade is independent and thorough, Jade’s investigation was invaluable in our understanding of what happened to Jade, which turned what was a wonderful day into a tragic day.”
“It is important to clarify the facts, not least for our son, who now has to live without his mother.
“It is time to find some peace and time to mourn the gift that Jade was as we focus on the joy and gift Jade gave to us, our beautiful son.”
dr Didcock told the family: “I am so sorry for your loss. I also hope that lessons will be learned that will lead to better care in the future.’
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 chief medical director of the DBTH, Dr. Tim Noble, said: “On behalf of the Trust, I would like to once again extend my sincere apologies and condolences to Jade’s husband Richard, her family and friends.
“As highlighted during the inquest, this was a truly tragic case and we are grateful for the coroner’s time and careful consideration to reach a conclusion.
“We will carefully review the coroner’s findings and take whatever action is necessary to further enhance the safety of the Trust’s maternity services.”
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https://metro.co.uk/2022/06/04/mum-died-after-giving-birth-due-to-hospitals-bad-decisions-16768025/ The mother died after childbirth due to the hospital's poor decisions