Rhian Rose
3 Nov 2021 · Coroner Nicholas Lane · Worcestershire
The coroner's concerns
1. lack of respect for maternal wishes
“Informed consent and maternal choice regarding mode of delivery - I am concerned that enough emphasis is not being given to maternal wishes regarding mode of delivery. This issue appears to be a recurring theme in obstetric practice, and I am concerned that the culture in this area appears to still not fully accepting of the principles of informed consent set down in case law of the appeal courts (Montgomery) and in NICE guidance (Caesarean Section) and of facilitating the wishes of pregnant wom”
2. infection risk from retained foetus
“Infection risk of retained foetus following feticide - I am concerned that a significant infection risk (retention of a deceased foetus) is not being given due weight in clinical decisions when a mother is attending for delivery (following feticide). There does not appear to be any specific or detailed local, or indeed national, guidance, for obstetricians and midwives which addresses this issue or discusses important considerations such as whether infection can be controlled by antibiotics”