Fiona Winser-Ramm and her partner Daniel had a devastating start to 2020 when baby Aliona died on New Year's Day.
A devastated couple told of the heartbreak after their baby girl died just 27 minutes after she was born.
The following day, Fiona's contractions had increased in strength and frequency and she was admitted to Leeds General Infirmary. After an initial assessment and admission to the delivery suite, she was examined again and the baby’s heart rate was categorised as pathological or abnormal, using a Cardiotocograph .
"Our lives are completely ruined. I still wake up every morning and just think for a second that my life is normal, before the sledgehammer of reality hits. I feel like a piece of me is missing." It was heard that Fiona and Daniel "were not given any or adequate information about induction of labour and potential intervention prior to 29 December" which Coroner Wolstenholme found to be "extremely poor practice" and a "gross failure in care." To not take into account Aliona’s rising baseline heart trace and notice "markedly concerning features" was also identified as a "gross failure in basic care.
"For three years since Aliona’s death, they also had a number of concerns over what happened in the lead up to Aliona being delivered. Throughout their investigation into what happened, their primary concern and goal has been to understand what happened and ensure that other families do not have to go through the same experience.
It was found that the same midwife had tried to raise concerns about the CTG to the midwife in charge of the delivery suite but the inquest heard that the midwife in charge admitted she thought she had time to wait for the registrar on shift who was with other patients at the time so failed to immediately escalate the concerns to the on-call consultant.
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