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Parents refuse help from midwives at homebirth - baby dies

40 replies

mears · 23/04/2004 14:07

Can anyone find me a link for this? Questions are being raised to change the law in cases where parents refusing professional assistance results in death of baby. The couple in question refused to let midwives intervene at the breech birth of their daughter. When eventually transferred to hospital it was discovered she was having twins and the second baby was delivered safely by C/S.

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gothicmama · 23/04/2004 14:09

news.bbc.co.uk/1/hi/england/gloucestershire/3647227.stm{}
Here it is

gothicmama · 23/04/2004 14:10

oops could be wrong its about cutting umbilical cord

pollingfold · 23/04/2004 14:12

Don't know if can do a link to this Searched page - through The Times. So here is it in full. It must have been horrific for the mw there, let alone the parents. How must they feel, guilt and regret must not even be close.

Parents refuse help as 'natural birth' baby dies
By A Correspondent - The TIMES 23/04/04

A MOTHER and father refused to let midwives intervene and cut the umbilical cord in a home birth, which led to the death of their baby girl, an inquest was told yesterday.

Elizabeth and Shaun Hamill, from Cheltenham, held a strong belief that the birth of their daughter Rosie should be ?natural? and rejected the advice and assistance of midwives when the birth became complicated.

A midwife discovered the baby was in the breech position two weeks before Mrs Hamill went into labour on November 18, 2002.

Professor Gordon Stirrat, a consultant obstetrician and gynaecologist at Bristol University, said Mr and Mrs Hamill insisted on having Rosie at home, despite being told of the serious risks involved in a breech delivery.

On the morning of the birth, the parents refused to let the three midwives help when the baby became stuck with its legs and bottom exposed and its head still inside.

Professor Stirrat said Mrs Hamill was on her hands and knees in her bedroom, which was lit only by candles, and refused to recline to allow the midwives to check the baby?s heartbeat. She also refused to allow them to lift her nightgown to examine her or touch the baby during the delivery.

This led to the baby receiving a restricted oxygen supply for eight minutes and no oxygen at all for 16 minutes.

Professor Stirrat said: ?In my opinion this is the sole cause of the baby?s poor state at birth. The room was cold, it was winter, the baby would have been losing heat, compounding the problem.?

In his statement he said the midwives described the baby as going ?floppy and pale- pink? during the delivery. The delivery took 24 minutes.

The mother then refused to allow the midwives to clamp and cut the umbilical cord for four minutes, he said. ?

Permission was requested by the midwives and was emphatically denied,? he told the inquest.

After four minutes Mrs Hamill ?reluctantly? agreed to have the cord cut and was persuaded to hand over Rosie, who was not breathing, to the midwives who tried to resuscitate her, Professor Stirrat said. They then dialled 999.

Pathologist Dr Hugh White said the baby died when the ventilator was turned off four days later at Southmead Hospital in Bristol. He said Rosie died because of a lack of oxygen at birth. The official cause of death was given as cerebral hypoxia caused by an unassisted breech delivery.

Mrs Hamill was taken to Cheltenham General Hospital, where it was discovered she had been carrying twins.

She eventually agreed to have a Caesarean section and delivered a baby girl called Flora on November 18. The couple had already delivered two children at their home in 1999 and 2000.

Detective Constable Russ Williams told the inquest that hospital staff had raised concerns about Rosie?s delivery and contacted police and social services. He said that the Crown Prosecution Service had decided not to prosecute and that it could not find any breach or negligence of duty on the part of the midwives.

Recording a verdict of want of attention at birth, Paul Forrest, Avon?s county coroner, said it was clear the couple held a belief in natural birth but he appreciated the difficult position of the midwives.

mears · 23/04/2004 14:12

Thanks gothicmama.

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mears · 23/04/2004 14:13

and pollingfold

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gothicmama · 23/04/2004 14:13

No it was a breach birth - donot know how everyone else seems to do fancy links taht go straight there whilst mine have to cut and paste
just trying this
\linknews.bbc.co.uk/1/hi/england/gloucestershire/3647227.stm{}

aloha · 23/04/2004 14:15

I do wonder what on earth they were thinking.

mears · 23/04/2004 14:17

I can do the link now that you have found it

here

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busybee123 · 23/04/2004 14:33

I had a home birth for my 3rd baby but NO way would I have even thought about it if baby was breech, or thought of not letting the midwife help. That's horrendous. The couple will be distraught but its the baby I feel sorry for. Not even having the chance at the first gasp of life. Poor little love. Hope she is at peace x

Chandra · 23/04/2004 14:39

Absolutely shocking, I understand people have the right to have the style of birth of their choosing but why the baby right to live and receive help has been overlooked? I thought something like this would be covered by the UNICEF rights of children or is it that as a baby still attached to her mother whe was not yet considered a child?

Demented · 23/04/2004 21:30
Sad
Slinky · 23/04/2004 21:36

and how awful for the midwives having to stand there and watch, knowing that this baby was dying

WSM · 23/04/2004 21:37

Jesus, this makes me SO bloody angry. Stupid f*ing principles got in the way of a human life. LIVID.

libb · 23/04/2004 21:44

There was also an article in The Guardian today about the possibility of a new law holding mothers responsible for their unborn child if they choose to drink etc throughout pregnancy.

I can send it to you if there isn't anything on the official website?

emmatmg · 23/04/2004 21:44

I think that's right Chandra, about the child not being concidered a child. There was thread a short while ago about late abortions and someone mentioned somethiing called 'partial birth abortion' or similar. I can do links but it was so horrific that I don't want to bring it back and sadly it is the case the the baby isn't concidered.....blimey I can't even think of the right words.

Please don't search for that thread, it stayed with me for days and even now I have tears in my eyes.

emmatmg · 23/04/2004 21:45

Well said WSM. My thoughts exactly.

suzywong · 23/04/2004 21:49

Shudder
Couldn't bear to read past 'the baby wasn't breathing'
Stupid ungrateful selfish vain parents
Make me fume, and weep

bunny2 · 23/04/2004 22:44

Makes my blood boil, hope the bloody witch has been forcibly sterilised - probably against her human rights though.

jane313 · 25/04/2004 19:00

I wonder if they didn't have anyscans either. I wondered how common it was not to know you are having twins?

JulieF · 27/04/2004 00:34

Whilst this is a tragedy and serious questions need to be asked the fact that a baby is breech isn't a reason to deny a woman a homebirth.

All midwives should be trained in breech birth although sadly many are losing these skills due to the increasing amount of c sections.

Of course the woman refusing to allow the midwives to help was terrible.

Levanna · 02/05/2004 00:33

I agree with JulieF. Is there no way of making a breech homebirth a feasible option? I only ask, as I had (or rather, it's ongoing!) a discussion with my midwife recently about my homebirth. When I asked what the options were if my baby is breech, she said I'd definately have to go into hospital and probably have a ceasarian. The thought of going in for more careful monitoring I accept (though of course wish it could be done at home!) but, if it really is safer, then fine. But, the thought of the intervention really bothers me. I know people who have delivered breech babies vaginally with no problems, so the realisation that if baby is breech means in no uncertain terms I'll be encouraged and possibly coerced into having a ceasarian seems quite at odds. I can see why people are put off of going into hospital when discussion seems unthought of in some of them . Then you read about something like this in the paper..........

Ghosty · 02/05/2004 01:51

Wasn't there a cast in the US where a woman was jailed for not following advice of doctors to have a c/s and her baby died?

I think there is lots to be said about people staying in control of the birth process of their child but surely no-one in their right mind would want to put the life of their baby at risk?

Very upsetting story

Ghosty · 02/05/2004 01:52

I mean 'case' not 'cast'

Skara · 02/05/2004 03:58

Levanna, a breech home birth with competent midwives is feasible but as JulieF says, midwives are losing the skills due to the increase in c/s for breech. The alternative in most hospitals is what Mary Cronk (a midwife who specialises in vaginal breech birth and trains other midwives in the subject) calls a 'breech extraction' which is a medically managed vaginal breech birth in hospital, involving large episiotomy, possibly forceps, large numbers of medical staff on hand, the mother lying flat and monitored, etc etc. My last midwife said that if one wasn't open to the possibility of home breech birth she would recommend going straight to elective c/s as it would be safer and easier than a breech extraction. But I digress...I think there is a lot more to this case than the press have reported and suspect it isn't as cut and dried as it first appears.

frogs · 02/05/2004 11:29

Levanna -- my baby was breech at 37 weeks (later turned by ECV), and I looked into the possiblities in some detail.

My obstetrician gave me a very fair and balanced account of the options, and said that since I'd had two previous large babies, I'd be a good candidate for vaginal breech birth. He did also say (as in Skara's post) that midwives and doctors were becoming deskilled in vaginal breech births.

If they hadn't managed to turn the baby, I think I would have done my best to get an independent midwife with experience in breech births to go into hospital with me. I wouldn't be comfortable with a home birth for a breech baby, as I'd want to know they could go straight to Caesarean if there was a problem.