Justice for client who suffered serious birth injuries

23 May 2022 | Nicholas Leahy
Neglijenta medicala spital din UK

The birth injury lawyers at Osbornes Law have recently negotiated the settlement of a case in which our client sustained serious injuries as a result of clinical negligence during the birth of her first child in November 2018. Nick Leahy, a solicitor in the Clinical Negligence team, represented our client.

Background

Our client, AB, fell pregnant in early April 2018, and she booked in for midwifery-led care at the Princess Royal University Hospital (PRUH) at 9+5 weeks. PRUH is managed by King’s College London Hospitals NHS Foundation Trust. AB’s pregnancy was deemed to be normal and low risk. She attended all her antenatal appointments as planned, and there were no concerns during her pregnancy.

On 17 November 2018 AB called the labour telephone line reporting strong contractions. She was told to come into the birth centre for assessment. She arrived shortly thereafter and at 2pm it was noted that she was in the latent phase of labour. The plan at this stage was to continue with observations, CTG trace, speculum +/- vaginal examination and to arrange for an obstetric review should this be needed.

A short time later, at 15:00 on 17 November 2018, AB was found to be 5cm dilated and the plan was made for her to be transferred to the Birthing Centre to await events. It was decided to manage her conservatively at this time.

At 19:10 labour was noted to be established by the midwife as AB was contracting strongly at this point and required pain relief. The plan was for AB to have routine intrapartum care, pain relief as needed, and oral hydration/bladder care.  Fetal monitoring was performed after each contraction before the handover to the night staff at approximately 20:30.

By 20:50 AB was contracting 3-4 times every 10 minutes lasting for 55 seconds, mild to moderate on palpation. Good fetal movements were felt.  She was 6cm dilated by 21:00.

AB remained in the Birthing Centre overnight into 18 November 2018. At 03:00 prophylactic benzylpenicillin was commenced, 24 hours after she had begun to leak amniotic fluid. Later at 05:00 the decision to augment labour with Syntocinon was made. She was still 6cm dilated at this time.

At 11:40 AB was re-examined. Her contractions had become stronger and more frequent since earlier in the morning. She had progressed to 9cm dilation, which was significant progress. There was developing caput and the vertex remained above the ischial spines. However, the decision was made to continue with labour and for AB to be re-examined in 2 hours’ time.

By 13:40 there had been no further progress in terms of cervical dilation.  However, AB was having strong contractions and this was at a frequency of 4 every 10 minutes. There was increasing evidence that the labour was becoming obstructed at this time and there was caput +++. However, no review by senior obstetric staff took place and no decision was taken to deliver the baby by emergency caesarean section at this time.

It was only at 15:55 that the registrar on the ward performed a vaginal examination with consent and the cervix was 9cm dilated. There was a normal CTG at this time, but a rise in the baseline and the decision to proceed to a C-section was taken.

On 18 November 2018 at 17:30 AB had an emergency caesarean section in theatre. AB was 9cm dilated when she was transferred to theatre. Knife to skin took place at 17:35 and knife to uterus took place at 17:38.

At 17:46 it was noted that AB had a difficult delivery and that there were signs of obstructed labour. A Bandl’s ring was noted. As a result of the difficult delivery, the surgeon had to perform a T shaped incision to AB’s uterus and her baby daughter was eventually delivered at 17:46.

AB’s baby was admitted to the SCBU following delivery, and AB had to remain in hospital because her own recovery was difficult. She suffered from post-partum sepsis and an ileus. Eventually AB was discharged from hospital on 30 November 2018. However, she returned to hospital on 6 December 2018, suffering from continuing post-operative pain. She was admitted and given antibiotics. She remained in hospital on this occasion until 11 December 2018.

The above events had a serious adverse effect on AB’’s subsequent pregnancy in 2020. The plan for this pregnancy was for her to deliver at 36 weeks gestation, due to the problems which she had experienced in her previous pregnancy. Unfortunately, she was admitted with severe abdominal pain at 31 weeks’ gestation and diagnosed with a uterine rupture, which required her to deliver her baby immediately. She has since been advised to avoid having any further children.

Civil Claim

Nicholas Leahy, a Solicitor in the Clinical Negligence team at Osbornes Law, was instructed by AB in December 2020 to pursue a claim against King’s College Hospitals NHS Foundation Trust.

Following initial investigations, expert evidence was obtained from a leading Consultant Obstetrician, which supported AB’s case on breach of duty and causation. Our expert was of the view that despite clear evidence that AB’s labour was obstructed, there was a negligent failure to recognise this, and a failure to not only offer AB to proceed with an emergency caesarean section, but to encourage this as the safest option in the circumstances. As a result of these failures, our expert believed AB’s delivery was more complicated, and that in the absence of the significant failures in care, AB would not have required an inverted-T incision or a reverse breech extraction.

A Letter of Claim was sent to the hospital in October 2021, and a response was received on 1 March 2022. The Defendant made significant admissions of liability in their Letter of Response and invited us to disclose a Schedule of Loss in an attempt to achieve a settlement of her case.

Condition and Prognosis evidence was obtained from a Consultant Plastic and Reconstructive Surgeon, who advised on various treatment options to reduce AB’s scarring, which was more extensive than it would have been but for the admitted negligence. Following receipt of this evidence, a fully particularised schedule of loss was disclosed to the Defendant. Offers of settlement were made and the Defendant accepted AB’s Part 36 offer of settlement in April 2022 in the sum of £85,000.

Commenting following the successful resolution of this case, Nick Leahy said:

I am very pleased that we were able to obtain a positive outcome for our client in this case, which reflects the pain and suffering she experienced and will allow her to receive the treatment she requires in future. The fact that this case was settled in a relatively short period of time shows the benefits of a collaborative approach between legal representatives. Unfortunately, too often strong cases are needlessly defended, causing additional stress and suffering to injured people and leading to legal costs escalating”.

To speak to a specialist birth injury lawyer, contact Nicholas Leahy, or complete the form below.

Share this article

Contact

Contact Nicholas Leahy today

For a free initial conversation call 0207 485 8811

Email us Send us an email and we’ll get back to you






    • "Nicholas Leahy works extremely hard and understands the commercial sensitivities of clinical negligence litigation."

      Legal 500 2023

    • Excellent service from Osbornes throughout on a difficult clinical negligence claim. Nicholas Leahy who handled the claim was responsive and professional throughout, while also providing pragmatic advice and clear drafting.

      Client review

    • Working with Osbornes Law was the best decision I could have made. Nick was really attentive to my issue and did a very thorough job. He truly made the process headache free! Highly recommend them.

      Client review

    • Nick Leahy has been my Solicitor throughout this journey and has been absolutely amazing; kind, approachable and extremely supportive... Through some dogged determination by Nick we achieved our goal without having to go to trial. I cannot thank Nick, Stephanie and all of the team at Osbornes highly enough for achieving a very favourable settlement, the outcome of which will make a huge difference to myself and my family.

      Client review

    Related InsightsVIEW ALL

    1. baby
      31.8.2023

      Maternal and Fetal Hyponatraemia

      What is hyponatraemia? Hyponatraemia is a condition where sodium levels fall below a certain level, which can be dangerous. All...

      Read more
    2. pregnant lady
      23.3.2023

      Private Pregnancy Scans and Substandard Care

      In the news, it has been reported that private clinics that offer pregnancy scans to women are not meeting the...

      Read more
    3. baby hand in mothers hand
      7.3.2023

      5-figure settlement for infusion leak to mother

      Elline Demetriou has reached another successful outcome for a Claimant, who pursued a post C-section birth injury to mother claim...

      Read more
    4. water
      9.2.2023

      Perineal Tear case settles for 6-figure sum

      Birth Injury Lawyer, Stephanie Prior recently settled a claim relating to a woman who delivered her baby after a traumatic...

      Read more
    5. pregnant lady making a heart shape
      2.10.2022

      Osbornes Act for Family after Tragic Stillbirth

      Birth Injury lawyer Nicholas Leahy is acting for a young woman who had a water birth at home and two...

      Read more
    6. Hospital sign MATERNITY
      21.9.2022

      Are maternity services safe? – Part 2

      In April last year I wrote a piece about government setting up a taskforce to look into why there are...

      Read more
    7. Pregnant woman performing cardiotocography CTG
      8.9.2022

      Poor interpretation of CTG can result in stillbirth...

      Poor interpretation of a Cardiotocograph, more commonly known as a CTG, is a leading cause of stillbirth and brain injuries...

      Read more
    8. child with blue paint on hands
      2.9.2022

      Life-changing Injuries during birth

      Claim after mother and baby suffered life-changing injuries during birth Jodi is acting for both mother and baby in a...

      Read more
    9. Medical doctor in empty hospital corridor
      1.8.2022

      Successful settlement for birth injury that led to...

      Stephanie Prior’s case relating to the death of Gabriela Pintilie has been settled and approved by the High Court....

      Read more
    10. doctor women at office
      29.6.2022

      Nottingham Maternity: Donna Ockenden to Chair Independent Inquiry

      An interim report on the state of maternity services at Nottingham University Hospitals NHS Trust has just been released. However,...

      Read more
    11. Neglijenta medicala spital din UK
      23.5.2022

      Justice for client who suffered serious birth injuries

      The birth injury lawyers at Osbornes Law have recently negotiated the settlement of a case in which our client sustained...

      Read more
    12. Neglijenta medicala spital din UK
      23.2.2022

      Women from ethnic minorities experience worse maternity care

      It has been reported today that the government has set up a new task force to look into why there...

      Read more
    13. pregnant lady
      17.2.2022

      999 Call Handlers Maternity Instructions Report

      HSIB Report on Maternity Pre-arrival Instructions from 999 Call Handlers The Healthcare Safety Investigation Branch (“HSIB”) investigate NHS maternity incidents that...

      Read more
    14. Pregnant Woman and Gynecologist Doctor at Hospit
      2.2.2022

      Child Left with Brain Injuries at Birth

      Osbornes Law specialises in assisting families who have experienced birth injuries. We have represented families who have faced the loss...

      Read more
    15. cute kid with disability playing
      27.1.2022

      Six-figure claim allows family to move home

      Six-figure compensation payment for a client Jodi Newton has secured a six-figure compensation payment for her client with cerebral palsy....

      Read more
    16. lesiones de nacimiento
      24.1.2022

      Likely settlement of £15-20 million

      A client who suffered cerebral palsy injuries at birth was awarded £200,000 as an interim payment in a claim against NHS...

      Read more
    17. Pregnant woman holding blanket,
      12.1.2022

      Wrongful birth claim successfully settled

      Background Our client, J, fell pregnant in October 2015 and took the difficult decision to undergo a termination. She booked an...

      Read more
    18. Pregnant Woman and Gynecologist Doctor at Hospit
      2.1.2022

      Osbornes Law Act in Stillbirth Negligence Case

      Osbornes Law specialises in assisting families who have experienced birth injuries. We have represented families who have faced the loss...

      Read more
    19. white rose
      1.12.2021

      Maternity claim for fatality following caesarean section

      Stephanie Prior is acting for a gentleman whose wife died after she had a caesarean section. The claim is on...

      Read more
    20. maternity sign
      17.11.2021

      NICE revises guidelines on Induced labour

      Most babies are born naturally at around 40 weeks gestation. However, some pregnancies continue for longer. According to data from the...

      Read more
    21. girl looking through binoculars
      2.10.2021

      Compensation supports rehabilitation and housing

      Six-figure sum supports rehabilitation and housing. Jodi achieved a six-figure sum compensation for her client with cerebral palsy. The financial...

      Read more
    22. maternity hospital
      25.9.2021

      Compensation for Negligence in Maternity Cases

      According to the UK’s National Audit Office, the cost to the NHS of medical negligence compensation is currently sitting...

      Read more
    23. child playing with blocks
      6.8.2021

      Compensation supports rehabilitation and housing

      Osbornes Law specialises in helping families with a child diagnosed with cerebral palsy. We represent clients and help families establish...

      Read more
    24. hospital bed
      20.7.2021

      Osbornes Successfully Settle Wrongful Birth Claim

      Nicholas Leahy, clinical negligence lawyer at Osbornes Law has recently negotiated the successful settlement of a wrongful birth case. Our...

      Read more

    VIEW ALL