Prevention of Future Deaths Report: Charlotte Bevan and Zaani Malbrouck
27 Oct 2015 · Coroner Maria Voisin · Avon
The coroner's concerns
1. lack of multi-disciplinary team meeting for pregnant women with known mental health condition
“It was not stated in evidence - that in all cases when a lady with a known mental health condition becomes pregnant that there is a multi-disciplinary team meeting to include all or some of the following professionals: GP, midwife, obstetrician, consultant psychiatrist, care co-ordinator, social services; and any others to be deemed appropriate.”