Home birth midwife regrets decision before baby’s death
A midwife regrets that after a baby dies after birth, a woman does not advise him to go to the hospital.
Elizabeth Murphy told the Victoria Coroners court that the woman who could not be defined in the Labor Party on 19 August 2022 made a mistake as the primary midwife.
The mother had to run to Bendigo Health in the center of Victoria, where her son was delivered by an emergency caesarean section.
The baby, known as baby R, died of perinatal hypoxia in the hospital six days later.
Coroner Dimitra Dubrow organizes an investigation into the death of Baby R to assess whether the mother is suitable for birth at home and whether death is prevented.
At 15:30, the court was told for about 12 hours of labor, and the woman experienced a meconium liquor that could be a sign that the baby was troubled.
Ms. Murphy and the second midwife Marie-Louise Lapeyre decided to increase the monitoring of fetal heart rate rather than a hospital transfer consultancy.
The woman continued to work at home for the next four hours and decided to go to the hospital only when the baby’s heart rate fell and then accelerated around 19.30.
The baby was born with an emergency caesarean section, but he had to be subjected to intubation and began to seizure, so he was transferred to Melbourne Royal Women’s Hospital.
He was removed from his life support and died on August 25 at 23.37.
Murphy said on Thursday that he should propose to be transferred during the meconium liquor incident.
“I regret this at 15:30,” he said.
“I know what’s there is not enough.”
The midwife admitted that he could call another midwife or medical doctor to give advice at that time.
He also admitted that the mother should take more regular vaginal examinations to better evaluate how labor progresses.
“In this case, I notice, we made mistakes and I regret it,” he said.
However, although Mrs Murphy knew that the woman was an emergency caesarean section with her first child, the mother claimed that she was suitable for birth at home.
After cesarean section, women who want vaginal birth were more successful at home, not in the hospital, he said.
Mrs Murphy also said that his first child was more than macrosomic or greater than average, he explained that he had risks to the woman and had bleeding after his first birth.
The midwife told the court that although a 36 -week birth specialist rejected an appointment in the hospital, the mother believes that she had made a conscious decision to continue at home.
Murphy said the woman supports the decision to reject the appointment.
“I participated in these visits at the Bendio Hospital and acted arrogant by gynecology experts because of their elections.”
“Bebek R’s mother was aware of this.”
Mrs Murphy claimed that if he sees a birth specialist every 36 weeks, the woman would get the same information about the risk.
Orum I don’t think he’s going to change his mind, ”he said.
The investigation continues.
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