Liliwen Thomas
8 Jul 2025 · Coroner Rachel Knight · South Wales Central
The coroner's concerns
1. unlimited analgesia leading to maternal comatose state
“[the deceased]'s mother was given unlimited Entonox, as well as routine doses of pethidine and codeine. The result was that she effectively became comatose for a period of time, during which she delivered [the deceased]”