New Rotunda master calls for change in laws on abortion

The new Master of the Rotunda has witnessed the tragedy of parents of babies with fatal foetal abnormalities having to “courier” their child’s remains home because of Ireland’s restrictive abortion laws.

In an interview in today’s Irish Examiner, Professor Fergal Malone said they had been “struck over the years” by how “emotionally difficult” it is for women to have to travel overseas for termination.

“We have had parents bring their child’s remains back in a shoebox in the back of a car. We’ve had parents have their child’s remains sent back by courier, to arrive by DHL.”

The position at the Rotunda is that they would “wish to provide all care to our patients here”, Prof Malone said: “We do not believe that it is right that individual patients who make the choice [to travel to the UK]... that they should not be able to have that procedure done here. So we would like to see that situation change.”

In about 75% of cases where the unborn child was diagnosed with anencephaly, a fatal foetal abnormality where parts of the brain and skull are missing, parents chose to terminate, Prof Malone said. There are 20 to 30 such cases at the Rotunda each year.

Parents in about three quarters of cases where the diagnosis was Trisomy 18, where the baby has an extra chromosome in its cells, chose to terminate, he said.

For those who opted for termination, most went to the UK and Prof Malone said his staff have done their best to make the process less traumatic for patients.

“Our staff have actually gone over to the hospitals to look at the journey our patients will take,” he said. “So we know the individual names of practitioners and counsellors that they will meet and we are able to demystify it as much as possible. Because we know if you are changing hospital location, that can be very intimidating.”

The most tragic aspect of these journeys is the extreme trauma it causes for patients, Prof Malone says.

Prof Malone, a consultant obstetrician and gynaecologist, said his profession is “under tremendous pressure” with “significant stress and anxiety and indeed eventual burnout” because of the level of litigation around childbirth.

“I am personally aware of obstetricians and midwives who have stopped practising after a case, they’ve been so badly affected and traumatised. Things happen in obstetrics that are just unexplainable. We have unfortunate cases where women come into us at 39 weeks with an unexplained stillbirth, where despite a complete autopsy, genetic studies, ultrasound scans, we still can’t explain what happened.”

Prof Malone said his key priority during his seven-year tenure is to oversee relocation of the hospital from Dublin city centre to Blanchardstown. He will also prioritise expanding their benign gynaecology service.“The difficult thing about benign gynaecology is it could be something like irregular heavy periods, post menopausal bleeding, it may be benign. But what you don’t know is — are there certain cases of cancers lurking in there?”

The hospital’s figures show there are 1,506 patients waiting to be seen.

Prof Malone is also hoping for a significant improvement in midwifery numbers. The deficit for the coming year based on the level of births is 45: “It’s a critical issue. Even if tomorrow there was money for it [to hire midwives] we actually couldn’t find them.

“There used to be a time when there was severe competition and a waiting list to get into the midwifery training scheme in the Rotunda. But we actually couldn’t fill all the places last year.”

© Irish Examiner Ltd. All rights reserved

Email Updates

Receive our lunchtime briefing straight to your inbox

Related Articles

Justin Trudeau urges Taoiseach to liberalise Irish abortion laws

Call on government to make Irish abortion laws reflect that of rest of Europe

ICCL reveals range of issues to be discussed at UN Committee meeting

Chile senate backs bill allowing abortion in some cases

More in this Section

Rents soar on back of housing shortage

County Hall may mount legal challenge to Mackinnon

No confirmed sightings of Satchwell since disappearance

Councillors fear losing money-generating areas

Breaking Stories

Lightning leaves 2,000 with no electricity; flooding reported in four counties

Gardaí issue appeal for help in finding teenage boy

Latest: Six people in hospital, one in serious condition, after pedestrians hit by car in Dublin

Endangered red kite 'deliberately' shot dead in the North


Scoring a goal for the homeless

Making Cents: It’s barking mad not to consider your pet costs

From Russia with love (of dancing)

The Islands of Ireland: Knight to remember on Clare Island

More From The Irish Examiner