An inquest heard that a ‘kind and compassionate’ first-time mother died just hours after giving birth to her son as a result of hospital medics”exceptionally terrible decisions.’
Jade Hart, from Pontefract in West Yorkshire, gave birth to Hugo at Bassetlaw Hospital in Worksop shortly after 10 p.m. on July 8, 2018.
However, she died the next morning as a result of uterine inversion, an uncommon ailment in which the uterus turns partially or entirely inside out.
An inquest at Nottingham Coroner’s Court concluded that her death was caused by errors made by one of her doctors and a hospital midwife.
Mrs Hart’s umbilical cord was discovered to have been pulled at least four times by a doctor while her placenta had not detached, an action Assistant Coroner Dr Elizabeth Didcock described as a “very serious neglect of care” that resulted in Mrs Hart’s death.
Mrs Hart had repeated cardiac arrests and would have died if it hadn’t been for the uterus inversion, according to the inquiry.
The inquiry also discovered that her continuous bleeding was mismanaged, with routine checks not being performed in the hours preceding up to her death.
She had lost at least 5.5 litres of blood and suffered organ failure and brain damage as a result of her negligence, which contributed to her death.
Individual errors could not have been predicted by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, according to the inquest, and instead resulted from a failure to follow advice.
The coroner chastised the trust for sending a report to medical groups after the fact that omitted criticism and analysis from an independent expert.