Baby died after mum suffered ruptured uterus giving birth, inquest hears

A mother planning to deliver naturally following a C-section 14 months previously, lost her baby two days after birth.

Baby died after mum suffered ruptured uterus giving birth, inquest hears

Denise Farrell said she was unaware of the danger of uterine rupture 'until it happened' an inquest into her baby's death heard.

Baby Sadhbh Farrell was born by emergency vacuum delivery on September 26 2014 at Portiuncula Hospital, Ballinasloe, Co Galway.

The baby was limp on arrival and had suffered a significant brain injury, the court heard.

Denise and Cathal Farrell had arrived at the hospital at 1am that morning and Mrs Farrell described feeling intense pain in the lead up to delivery. She'd had a C-section with her first child, Donagh, in July 2013.

"We were sent to a room beside the labour ward. My pain intensified," she said.

At one point the pain was so severe she vomited and told her husband to bring the midwife.

"This was my first actual physical labour and I didn't know what to expect. The pain was unbearable," Mrs Farrell said.

She was given gas for the pain but still described her discomfort as 'tremendous.'

Midwife Jennifer Callanan monitored Mrs Farrell in the hours leading up to the birth. She checked contractions and monitored the baby's heart rate.

She was aware of the patient's history and moved her into the labour ward to monitor her. She said the planned delivery was a 'trial of labour' meaning the mother would be monitored for signs of uterine rupture.

"I had no concerns, there was nothing to alarm me about any of it," midwife Jennifer Callanan said. The sudden onset of labour was faster than any the midwife had ever experienced, the court heard. Ms Callanan qualified as a midwife in 2010 and had begun working at Portiuncula Hospital in January 2014.

Baby Sadhbh was born at 4.52am but she was limp and not breathing. She was intubated and ventilated and later transferred to the Coombe Hospital in Dublin where she died two days later. "On Sept 28 at 18.45 we lost our precious angel, she was taken off life support, I will never forget that feeling," Mrs Farrell said.

The inquest heard that the placenta had not been delivered post-birth and Mrs Farrell was taken to theatre to have it removed.

"Dr (Ali) Hegazi pressed on my abdomen. While he applied pressure I felt the most horrendous pain," Mrs Farrell said.

The inquest heard from Consultant Pediatrician Dr Pauric Curran who saw baby Sadhbh shortly after her birth and found her to be in a coma due to brain impairment. Later, at the Coombe, the child developed multiple organ dysfunction and died. The inquest was adjourned to hear evidence from further witnesses at a date to be decided.

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