Baby death: midwife cautioned
Published Date:
24 July 2008
By John Ritchie
A MIDWIFE who resigned to "make amends" after a mother lost her baby during a traumatic childbirth was yesterday given a caution order for 12 months.
Judith Best, 58, of Scarborough, failed to act after student midwife Davina Eames reported the heavy blood loss at Bridlington Hospital, the Nursing and Midwifery Council was told.
The infant, whose mother was referred to at the hearing as Mrs A, was transferred to Scarborough Hospital's A&E department on January 27 2005 and delivered swiftly but there was no heartbeat. All attempts to revive the baby proved fruitless and it was stillborn.
Best, who had a flawless 27-year record in midwifery, admitted she should have paid more attention to Ms Eames than she did when she took over her supervision at 5.40pm. The midwife also admitted to the panel that she did not review the patient's notes as thoroughly as she could have done.
And vital equipment needed for listening to the baby's heartbeat was missing from an emergency travel bag during the transfer between hospitals.
Panel chairman Elizabeth Rush told the hearing that Best should not shoulder the blame for not checking the baby's heart rate in the ambulance.
But the hearing was told that if Best had checked Ms Eames' notes the baby would have stood a better chance of survival.
Ms Rush told Best: "The panel accepts that in the particular circumstances of this case you could not be criticised for failing to monitor the foetal heartbeat in the ambulance travelling between Bridlington and Scarborough.
"Your essential failing is that you failed properly to supervise the student midwife who was attending Mrs A, and to ensure that proper records were kept.
"When you took over the care of Mrs A and supervision of the student midwife at about 5.45pm you should have immediately read the notes made by the student midwife in the labour record.
"If you had read the notes you would have been alerted to and been concerned about her level of competence, and you should then have supervised more closely.
"You would have had the opportunity to cause more frequent observations to be made and to take action earlier than you did.
"Whether the outcome would have been different, it cannot be known. But you did have a duty to ensure that Mrs A had safe and competent care."
Ms Rush also told the hearing Best's actions only warranted a caution because she admitted her mistakes and has since retired from midwifery.
She added: "The panel accepts that although there was a serious departure from the NMC code of conduct, there was a prompt and full admission of responsibility.
"You have never attempted to deny that your conduct fell below acceptable standards in the supervision of a student midwife and ensuring proper record keeping.
The full article contains 474 words and appears in Scarborough Evening News newspaper.
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Last Updated:
24 July 2008 7:21 AM
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Source:
Scarborough Evening News
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Location:
Scarborough