Clinical Negligence During Labour
For many women the thought of giving birth can be a scary thought. For first-time mothers the prospect of giving birth is an even more daunting experience as no matter how much reading you
may do beforehand it can never really prepare you. Unfortunately, sometimes the labour is not managed appropriately and when complications occur there is a delay in taking appropriate action to avoid damage to mother and baby.
Labour is divided into three stages:
Stage 1: This is when the uterine contractions start and this stage ends when the cervix is fully dilated.
Stage 2: This is when the cervix is fully dilated and the baby is delivered.
Stage 3: This is the period from when the baby is born to when the placenta is delivered.
It is essential that the midwife and the obstetrician involved in a deliver should ensure that each stage of the birthing process is carefully monitored and managed. If appropriate monitoring is undertaken then it can lead to any complications being dealt with in a timely manner which is essential. When a labour is not managed appropriately this can result in long term problems for both mother and child.Complications which can occur during the birth include:
Clinical Negligence issues relating to Caesarean Sections
- the use of forceps or ventouse delivery
- Repairs to Tears
- Episiotomy and Third or Fourth Degree Tears
- Erb’s Palsy or Brachial Plexus Injuries
- Cerebral Palsy
Clinical Negligence During Pregnancy
Pregnancy can be an amazing but equally daunting experience for a woman, during your pregnancy you put your trust in your midwife and doctor to guide you through this important time. However, sadly for some women the standard of care they receive during their pregnancy falls below the appropriate standard expected. Some examples of clinical negligence during pregnancy include:
- Pre Eclampsia
- Gestational/maternal diabetes
- Uterine rupture
- Placental Abruption
- Ectopic pregnancy
- Still birth
- Wrongful birth
Stillbirths Due to Clinical Negligence
A stillbirth is when a baby is born dead after 24 completed weeks of pregnancy. If a baby dies before 24 weeks into the pregnancy this is known as a miscarriage.
What causes a stillbirth?
There are various reasons why a stillbirth can occur. Some of the main causes which have been linked to stillbirths are:
- Complications with the placenta: The placenta is the life line between mother and baby which allows the baby to receive the blood supply and nutrients needed to enable it to develop. If there are problems with the functioning of the placenta then it can lead to the baby not receiving sufficient nourishment to survive.
- Congenital abnormality
- Bleeding (haemorrhage) before or during labour
- Placental abruption – when the placenta separates from the womb before the baby is born.
- Pre-eclampsia– a condition that causes high blood pressure in the mother
- A problem with the umbilical cord, which attaches the placenta to the baby’s tummy button – the cord can slip down through the entrance of the womb before the baby is born (known as cord prolapse), or it can be wrapped around the baby’s neck
- Intrahepatic cholestasis of pregnancy (ICP) or obstetric cholestasis which is a liver disorder during pregnancy characterised by severe itching
- Gestational Diabetes – a type of diabetes developed by the mother during pregnancy
- Infection in the mother that also affects the baby
However, a cause is not always identified in some stillbirths.
What happens when a stillbirth occurs?
If there is reason to suspect that the baby may have died, then this is confirmed by an ultrasound or a CTG trace being performed which checks for the baby’s heartbeat.
If there is no immediate risk to the mother’s life then she is allowed to decide whether to wait for the labour to begin naturally or whether medication be taken which induces the labour. It is very unusual for a stillborn baby to be delivered by caesarean section.
After a stillbirth some parents may wish to find out the cause of their baby dying. Therefore, the medical professionals providing the care may discuss having a post-mortem examination done on the baby. However, this cannot be done without the parents consent.
How can a stillbirth be clinical negligence?
During the pregnancy there are various antenatal appointments that should take place to monitor the baby and the mother’s health and progress with the pregnancy. If the care provided during the pregnancy or during the birth of the baby is substandard then you may be able to claim compensation.
Clinical Negligence after Birth
Once your baby has been safely delivered there is often a sigh of relief that everything has gone well.
However, for some people they find that months after their child has been born, that they have a condition which was not diagnosed immediately.