Severe Fetal Trauma during a Caesarean Section – Blog series – The case of baby Nixon - Coroners recommendations
In yesterday’s blog (available here) we outlined the findings of the inquest into the death of baby Nixon who died shortly after birth after suffering significant injuries including skull fractures which most likely were caused by two fingers pushing on the head to disimpact. Below we highlight the advice and recommendations made in the coroner’s report.
Hospital procedures introduced following the case:
In addition to the changes already made by the hospital the Coroner recommended:
The coroner stated;
‘I recommend that RANZCOG reconsider the policy statement C-Obs 37 Delivery of Fetus at Caesarean Section as to whether C-Obs 37 should include more information about the techniques to be adopted in the event of a presentation of a deeply impacted fetal head.’
Subsequent to the inquest report RANZCOG published new C-Obs 37 guidance in November 2016 available here.
Independent specialists also recommended:
What hospital guidelines do you follow for full dilation caesarean sections? Please share your experiences and thoughts in the comments section below.
Our medical director shares his opinion on the case here.
Dr Varma is a consultant Obstetrician & Gynaecologist with 35 years experience in the field of O&G. He is the inventor of Fetal Pillow and a part time Medical Director of Safe Obstetric Systems. He is still in active clinical practice mainly in the field of Urogynaecology.