Disaster Baby 'accidentally decapitated inside mother's womb' during delivery

Is this 'Disaster'? It's certainly 'Horror'. Definitely ain't Science because it would imply the doctor actually used their credentials to not fuck up the delivery.

https://www.independent.co.uk/news/...man-tribunal-ninewells-hospital-a8344696.html

A doctor caused an unborn baby to be accidentally decapitated inside her mother’s womb while performing a delivery, a medical tribunal has heard.

Dr Vaishnavy Laxman, a consultant gynaecologist who was working on an NHS maternity unit, is said to have ignored the woman giving birth’s requests to stop and failed to provide pain relief.

The obstetrician at Ninewells Hospital in Dundee is accused of wrongly going ahead with a vaginal labour in spite of several complications that meant a Caesarean delivery would have been safer because the premature infant was in a breech position.

The 30-year-old patient’s baby boy died during childbirth. Dr Laxman was suspended by NHS Tayside in the wake of the incident in March 2014.

It was alleged that tragedy hit when the 41-year-old doctor called for the patient to push while herself applying traction to the baby’s legs.

The movement caused the infant’s legs, arms and torso to become detached leaving the head still in his mother’s womb.


Two other doctors consequently carried out a C-section on the woman to remove the infant’s head. It was ‘’reattached’’ to his body so his mother could hold him before she said goodbye. It is claimed the mother was not even in established labour at the time.

A medical practitioners tribunal in Manchester heard the doctor allegedly continued with a vaginal delivery despite the patient’s cervix being “no more than four centimetres dilated”.

The mother came face to face with Dr Laxman at the tribunal, where she engaged in a harrowing exchange across the room.

“I don’t forgive you – I don’t forgive you,” she looked at her and said, while the doctor stared down at the floor.

This was followed by the mother – known only as Patient A – looking away as Dr Laxman’s QC apologised on behalf of her.

The woman’s waters had broken early at 25 weeks and upon examination her unborn baby was found to have a prolapsed cord, was in a breech position while the mother’s cervix was around 2-3cm dilated. It can be 10cm when fully dilated.

The mother, who was clutching two teddy bears in her arms, told the hearing it was the first time she was due to give birth.

“I had been for a scan the previous Friday and I was told my son was breech and the nurse told me if anything had happened to my son it was going to be a c-section,” she added.

“But when I was taken to the labour suite nobody told me what was happening. A lot of people were talking, they kept saying the baby needed to come out but nobody looked at me in the eye and told me what was going to happen.

“There were two doctors between my legs, one on my right hand side holding my hand and there were other people there too. I was examined by a doctor but she didn’t say anything to me. They were checking for the baby’s heartbeat and it had plummeted and that’s when I was told it was going to come out.

“I remember them saying I was two to three centimetres dilated and I was told to push. Nobody said I was not having a c-section and doing something else instead. Whilst this was going on I was in pain.

“The only pain relief I was given was a spray on my tongue. I was told it was meant to loosen my cervix but I was not given gas and air – I was in pain. I had the doctors putting their hands inside me and I had them pushing on my stomach and then pulling me down.

“I tried to get off the bed but they pulled me back three times and just said they had to get the baby out. They twice tried to cut my cervix and nobody told me they were going to do it. There was no anaesthetic. I said to them ‘it doesn’t feel right, stop it, what’s going on, I don’t want to do it’ but nobody responded to me in any way.

“Afterwards I was in a cubicle with a curtain around me and the sister came over to me and told me my son had passed away. I didn’t know the details but Dr Laxman came to see me and the baby’s father was there. Dr Laxman sat on the side of my bed and she said how sorry she was for what happened but I didn’t know the full extent of what happened at that point.

“I just said ‘it’s alright, these things happen, I forgive you.’ She went away but I started screaming when I found out the full extent – I was just crying. I was upset because of the severity of his injury.

“I would never use the word stillborn, he was not stillborn he was decapitated. I was pregnant, my first pregnancy I wasn’t sure what was going on and I was told it was the safest place possible. Nobody explained the plan or risks associated. It was like disorganised chaos and I was scared.’’

Midwife Mona Chard said: “I was aware she had palpable tightening and some bleeding and she was moved to the labour suite. There was a lot of discussion but I’m not sure who was talking to who. I can’t remember Dr Laxman having a conversation with a patient. I was trying to reassure the patient and comfort her. I remember looking round and people were shocked.

“The doctor came over to me and said Dr Laxman had decided there wasn’t going to be a c-section and I saw her pull the baby’s feet and cord and she told the patient to push. That is something you cannot forget and Patient A was very distressed.’’

The hearing was told the woman was given cocodamol before she was examined and Dr Laxman decided to carry out the delivery naturally.

“They tried to coerce the birth through traction as the baby was coming feet first followed by the lower abdomen, upper abdomen and head,” lawyer for the General Medical Council Charles Garside QC said.

“However, there was an obstruction during the birth which proved to be fatal. Dr Laxman allegedly delivered the legs, torso and arms successfully but whilst trying to deliver the head, it got stuck in the cervix.

“The attempt to manipulate the baby’s head to come out of the cervix failed because the cervix has clamped onto the baby’s head and despite effort made to assist, these efforts failed. Dr Laxman made three attempts to cut the cervix with scissors but Baby B’s head was separated from his body and his head was stuck inside Patient A’s body.

“The doctors had to arrange for the head to be removed. A Caesarean was then carried out – not by Dr Laxman who had become overcome by events – but by Dr C and Dr D, and his head was removed in that way.

“As a matter of compassion the head was reattached so the appearance of the baby was not too extreme. The baby was shown to his mother so she had the consolation of seeing him.’’

Mr Garside added: “At no stage was Patient A given any pain relief or instructed on when the C-section was being carried out. At no point did she try to comfort or consolidate or explain to Patient A what was going on.

“She failed to perform a Caesarean... without general anaesthetic at a time when speed was needed. They should have carried out a category one Caesarean section. The baby had a heartbeat, it was slow, but it was not dead. The choice was taken by Dr Laxman to try a vaginal delivery and this was the wrong choice. They should never use a vaginal delivery in that situation.

“New babies are fragile, but this tiny baby was more fragile, and being pulled or twisted could do a lot more damage [my note: this sentence trailed off as-is]

Dr Laxman, who was working at the hospital with a team of other doctors, faces being struck off. She denies contributing to the death of the baby.

Her lawyer Gerard Boyle QC addressed the mother during the hearing and told her: “Dr Laxman has asked me to say she is so very sorry and deeply saddened for the outcome of your baby.

“She knows that no amount of words can or will soften your pain but she is hoping that knowing that what she was trying to do was her very best to deliver your baby quickly and sufficiently and she had best intentions at heart. She did not intend to harm you or harm your baby and she offers her apologies in every possible way. She hopes at some point in time that will make you feel in a way, slightly better.’’

Edit: This story is 4 years old. Fuck you, you should feel horrified TODAY.
 
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I'm not sure the midwives in this situation should be off the hook, either. Nurses have their own duty of care to a patient and if you know a doctor is about to take a course of action which will almost certainly result in a bad outcome you have a duty to intervene.
There is alot of tension between doctors and nurses in hospitals as the doctors seem to be very arrogant and just do shit sometimes ignoring a patients history while the nurses run around and try to mitigate the damage. I don't think hiring doctors with English as their second language helps. The whole Cesarean section's being rationed out is new to me as I thought it was common for mothers to have that recommended as it was the safest option for premature babies.
 
If the cord was prolapsed, the baby was breech and it was a severely premature birth, cesarean should've been the only option. How the doctor can stand in court and deny she contributed to the baby's death is beyond belief.

As well as agreeing with all the comments expressing horror above, I was screaming internally reading that that the mother had no pain relief. This 'doctor' had her hands up the mother's vagina and was cutting her cervix with scissors, and the mother had absolutely nothing to prevent her feeling every single thing. What the ever loving fuck were any of the staff thinking? Even gas and air would've been something, and it's usually available in every labour room as a matter of course. What a butchery.

The mother has balls of steel to stand up in court and confront the doctor.
 
As well as agreeing with all the comments expressing horror above, I was screaming internally reading that that the mother had no pain relief. This 'doctor' had her hands up the mother's vagina and was cutting her cervix with scissors, and the mother had absolutely nothing to prevent her feeling every single thing. What the ever loving fuck were any of the staff thinking? Even gas and air would've been something, and it's usually available in every labour room as a matter of course. What a butchery.

Quite apart from the pain, fuck knows what damage to the cervix the surgeons had to repair and how that damage will affect her ability to carry babies to term in the future.

I get that consultants sometimes think they're gods, but hospitals still have leverage - they can revoke their admitting rights.

I find it interesting that she's referred to as a "consultant gynecologist" in the media reports. Even though ob/gyn is a dual qualification, not all gynecologists practise obstetrics and I wonder if that's the case with this particular doctor. It might explain her using an outdated approach to getting baby out.
 
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This is a clear cut case of negligence, and the details are horiffic.

I can't remember whether intervention starts at 24 or 26 weeks gestation, but I know some tertiary hospitals will medically intervene at 23 weeks with success.

This should have been a C-section straight off the bat, but it sounds like the gynecologist wanted the asspats and to deliver this premature baby naturally. And when it wasn't going exactly as she planned, it was too late to turn back.
 
Utterly horrifying, I don't even want to know how they attempted to make the baby presentable enough to show the mother

It reminds me of another case from seven years ago
http://www.dailymail.co.uk/news/art...-parents-dead-infant-delivered-C-section.html

According to the complaint, Dr Webb applied traction to the child's head in an attempt to dislodge his body, at which point the infant was decapitated.

Citing the complaint, the Courthouse News Services reported that blood shot out from the baby’s arteries and veins, spilling onto the floor in full view of the mother and Ammonette, who was sitting only two to four feet away from the birthing bed.
 
This is a clear cut case of negligence, and the details are horiffic.

I can't remember whether intervention starts at 24 or 26 weeks gestation, but I know some tertiary hospitals will medically intervene at 23 weeks with success.

This should have been a C-section straight off the bat, but it sounds like the gynecologist wanted the asspats and to deliver this premature baby naturally. And when it wasn't going exactly as she planned, it was too late to turn back.

There would have been no reason to try to get the baby out quickly unless they were planning NICU intervention. Mum wasn't in any danger.
 
Sooooo.

Maternity care in Ninewells (the hospital where this happened) is notoriously bad. This is getting a lot of coverage because the baby was pulled in half during delivery, but this is not the only avoidable neonatal death at delivery there in recent years, and there have been even more serious birth injuries that have settled out of court.

The unit is heavily midwife led, which isn’t actually cheaper than a consultant led unit, but is what pregnancy and maternity groups in the UK have campaigned for for years. It is public pressure that has driven down the section rate in the UK, nothing else. It’s also significantly lower in midwife led units because there are fewer fucking doctors there to actually section someone.

I am on my third tour of duty in Pregoland in Scotland currently, thankfully not at Ninewells. I have had three high risk pregnancies and have had consultant led care each time. I have also been under the care of midwives in labour ward each time. I can say without reservation that the care I have received from every doctor I have seen was exemplary, and the care from almost every midwife diabolical. Yes, I have been involved in raising this formally with the NHS board.

Every woman who is not having a pre planned section has her delivery overseen by midwives unless the emergency crash team are called. Due to my deliveries both being a couple weeks early, the midwives decided that although the neonatal heart monitoring was normal, they were concerned it might drop leading to me being sectioned which they, as midwives, have a national policy to avoid if at all possible. To lower the risk of anything happening to the normal heart rate, they refused all pain relief including the gas and air both times. That was a pretty fucking wow experience. Luckily I spaced out for some of it as I would not like to be able to recall it in detail.

They failed to call the crash cart the first time when baby was stuck and my H pressed the button to call it. I looked up and there were six fucking doctors including two consultants at the far end of the bed and they were doing a traction delivery on me (which is what happened to the lady in the Ninewells case). Luckily they were highly skilled and baby was fine. I was not fine. I tore and haemorrhaged so badly the blood hit the opposing wall. I only figured out the extent of the damage by requesting my notes later on. I have irreparable nerve damage. I can feel pressure but that’s it.

The second delivery (traction plus forceps) went equally badly; in fact slightly worse as baby had to be resuscitated on arrival. She is absolutely fine. I will probably need surgery after number three is born to correct what they did internally sewing me back up. On the upside, I can’t feel anything beyond dull pressure any more in that region so the healing won’t be too bad. They transfused me in labour ward that time. I bled it out on my kitchen floor that night.

Incidentally, because I was classed as a normal delivery, I was discharged within six hours of giving birth both times. Only to be readmitted hosing blood and with uterine infection on both occasions.

I’m twenty three weeks with number three currently and would appreciate any kind thoughts before I have to do this again.

I am firmly on the opposite side of the debate about midwife led care. I have been the one on the table when the midwives don’t know what the fuck to do and both of you are literally minutes from dying. I will never in my whole life again be so glad to see a swarm of doctors.

(This post had a point but I’ve forgotten what it was)
 
There would have been no reason to try to get the baby out quickly unless they were planning NICU intervention. Mum wasn't in any danger.

This is another thing I don't get. Unless she was fully dilated, why the hell were they pulling out the child and getting her to give birth asap?

Sooooo.

Maternity care in Ninewells (the hospital where this happened) is notoriously bad. This is getting a lot of coverage because the baby was pulled in half during delivery, but this is not the only avoidable neonatal death at delivery there in recent years, and there have been even more serious birth injuries that have settled out of court.

The unit is heavily midwife led, which isn’t actually cheaper than a consultant led unit, but is what pregnancy and maternity groups in the UK have campaigned for for years. It is public pressure that has driven down the section rate in the UK, nothing else. It’s also significantly lower in midwife led units because there are fewer fucking doctors there to actually section someone.

I am on my third tour of duty in Pregoland in Scotland currently, thankfully not at Ninewells. I have had three high risk pregnancies and have had consultant led care each time. I have also been under the care of midwives in labour ward each time. I can say without reservation that the care I have received from every doctor I have seen was exemplary, and the care from almost every midwife diabolical. Yes, I have been involved in raising this formally with the NHS board.

Every woman who is not having a pre planned section has her delivery overseen by midwives unless the emergency crash team are called. Due to my deliveries both being a couple weeks early, the midwives decided that although the neonatal heart monitoring was normal, they were concerned it might drop leading to me being sectioned which they, as midwives, have a national policy to avoid if at all possible. To lower the risk of anything happening to the normal heart rate, they refused all pain relief including the gas and air both times. That was a pretty fucking wow experience. Luckily I spaced out for some of it as I would not like to be able to recall it in detail.

They failed to call the crash cart the first time when baby was stuck and my H pressed the button to call it. I looked up and there were six fucking doctors including two consultants at the far end of the bed and they were doing a traction delivery on me (which is what happened to the lady in the Ninewells case). Luckily they were highly skilled and baby was fine. I was not fine. I tore and haemorrhaged so badly the blood hit the opposing wall. I only figured out the extent of the damage by requesting my notes later on. I have irreparable nerve damage. I can feel pressure but that’s it.

The second delivery (traction plus forceps) went equally badly; in fact slightly worse as baby had to be resuscitated on arrival. She is absolutely fine. I will probably need surgery after number three is born to correct what they did internally sewing me back up. On the upside, I can’t feel anything beyond dull pressure any more in that region so the healing won’t be too bad. They transfused me in labour ward that time. I bled it out on my kitchen floor that night.

Incidentally, because I was classed as a normal delivery, I was discharged within six hours of giving birth both times. Only to be readmitted hosing blood and with uterine infection on both occasions.

I’m twenty three weeks with number three currently and would appreciate any kind thoughts before I have to do this again.

I am firmly on the opposite side of the debate about midwife led care. I have been the one on the table when the midwives don’t know what the fuck to do and both of you are literally minutes from dying. I will never in my whole life again be so glad to see a swarm of doctors.

(This post had a point but I’ve forgotten what it was)

I've said this before I swear, but a lot of midwives are known to have an "I'm a midwife and I know best" reputation, and really don't like to be proved wrong. Why people want a heavily run midwife unit is beyond me.
 
This is another thing I don't get. Unless she was fully dilated, why the hell were they pulling out the child and getting her to give birth asap?

Baby's heart-rate was crashing due to prolapsed cord/foetal distress by the sound of it. Still doesn't explain why they didn't do a c-section the minute she presented at the hospital with ruptured membranes. It was a high risk delivery and an emergency c-section was the surest way to get baby out quickly and safely.

I've said this before I swear, but a lot of midwives are known to have an "I'm a midwife and I know best" reputation, and really don't like to be proved wrong. Why people want a heavily run midwife unit is beyond me.

It seems to go in cycles. I've seen periods where midwife-led care is awesome and doctor-led care is shit and then seen the reverse within a few years. It should never depend on chance and fashion, though. Whether care is midwife-led or doctor-led it should always be of the highest standard.
 
Nobody involved with this wanted this result.

Everybody involved with this will be haunted by it until the day they die.

Maybe there's someone specific to blame. Maybe there isn't.

I might be a little more sympathetic to the doctor if she wasn't maintaining that her actions didn't contribute to the death of the foetus. She created an injury which was incompatible with life. That's "contributing" in my book. A baby born at 25 weeks has a 50-80% chance of survival with intensive care. The doctor's actions diminished that to 0%.
 
"Dr Vaishnavy Laxman, a consultant gynaecologist who was working on an NHS maternity unit..."

I guess you could say that this gynaecologist was kinda lax, man!

Very disturbing though, really can't blame the mother for her words in court, it's refreshing to here that she doesn't forgive the butcher-sorry, doctor (the repetition in her statement displays her conviction). I understand the idea of 'forgiveness' so that you can attempt to move on after being a victim of crime but it's tiring that so many murder victims' families are practically expected or sometimes guilted into feeling that they should declare forgiveness. It's ok not to forgive sometimes.

How the hell would anyone get over such a traumatic experience? I wonder if the mother has attempted to get pregnant or given birth since. This was her first - how could she possibly trust doctors with her pregnancy or even safely carry to term with the stress and paranoia that would surely come after her first experience of pregnancy.

It might be an old story but it's :horrifying:
 
A lot of doctors love to take the “I did nothing wrong” stance to avoid any liability. So, while this doctor is a complete and utter fuckup, at the very least they had the balls to face the mother and admit wrongdoing. Still, pulling the legs and cord and telling the mother to push? How fucking dumb can you be?
 
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Sooooo.

Maternity care in Ninewells (the hospital where this happened) is notoriously bad. This is getting a lot of coverage because the baby was pulled in half during delivery, but this is not the only avoidable neonatal death at delivery there in recent years, and there have been even more serious birth injuries that have settled out of court.

The unit is heavily midwife led, which isn’t actually cheaper than a consultant led unit, but is what pregnancy and maternity groups in the UK have campaigned for for years. It is public pressure that has driven down the section rate in the UK, nothing else. It’s also significantly lower in midwife led units because there are fewer fucking doctors there to actually section someone.

I am on my third tour of duty in Pregoland in Scotland currently, thankfully not at Ninewells. I have had three high risk pregnancies and have had consultant led care each time. I have also been under the care of midwives in labour ward each time. I can say without reservation that the care I have received from every doctor I have seen was exemplary, and the care from almost every midwife diabolical. Yes, I have been involved in raising this formally with the NHS board.

Every woman who is not having a pre planned section has her delivery overseen by midwives unless the emergency crash team are called. Due to my deliveries both being a couple weeks early, the midwives decided that although the neonatal heart monitoring was normal, they were concerned it might drop leading to me being sectioned which they, as midwives, have a national policy to avoid if at all possible. To lower the risk of anything happening to the normal heart rate, they refused all pain relief including the gas and air both times. That was a pretty fucking wow experience. Luckily I spaced out for some of it as I would not like to be able to recall it in detail.

They failed to call the crash cart the first time when baby was stuck and my H pressed the button to call it. I looked up and there were six fucking doctors including two consultants at the far end of the bed and they were doing a traction delivery on me (which is what happened to the lady in the Ninewells case). Luckily they were highly skilled and baby was fine. I was not fine. I tore and haemorrhaged so badly the blood hit the opposing wall. I only figured out the extent of the damage by requesting my notes later on. I have irreparable nerve damage. I can feel pressure but that’s it.

The second delivery (traction plus forceps) went equally badly; in fact slightly worse as baby had to be resuscitated on arrival. She is absolutely fine. I will probably need surgery after number three is born to correct what they did internally sewing me back up. On the upside, I can’t feel anything beyond dull pressure any more in that region so the healing won’t be too bad. They transfused me in labour ward that time. I bled it out on my kitchen floor that night.

Incidentally, because I was classed as a normal delivery, I was discharged within six hours of giving birth both times. Only to be readmitted hosing blood and with uterine infection on both occasions.

I’m twenty three weeks with number three currently and would appreciate any kind thoughts before I have to do this again.

I am firmly on the opposite side of the debate about midwife led care. I have been the one on the table when the midwives don’t know what the fuck to do and both of you are literally minutes from dying. I will never in my whole life again be so glad to see a swarm of doctors.

(This post had a point but I’ve forgotten what it was)


Why the fuck are midwives, who AFAIK know fuck all when it comes to medical procedures, able to say what will and won't happen during child birth?

My understanding from that was they can even deny you pain medication? The fuck? Pretty sure if a wall has to be snipped from the V to the A, then pain medication should be a fucking priority.
 
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Kinda putting me in the mood to listen to Dying Fetus right now.

No but in all seriousness, that doctor might as well hang it up, because she's never going to find work as a doctor anywhere ever because of this.
 
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Baby's heart-rate was crashing due to prolapsed cord/foetal distress by the sound of it. Still doesn't explain why they didn't do a c-section the minute she presented at the hospital with ruptured membranes. It was a high risk delivery and an emergency c-section was the surest way to get baby out quickly and safely.



It seems to go in cycles. I've seen periods where midwife-led care is awesome and doctor-led care is shit and then seen the reverse within a few years. It should never depend on chance and fashion, though. Whether care is midwife-led or doctor-led it should always be of the highest standard.

There's way too much woo woo around pregnancy and birth lately. Yes, childbirth is a normal process, but that doesn't mean it's risk-free. This 'it's totally natural and health services should be involved as little as possible' is all well and good, but that's why so many women died in childbirth back in the day. Pregnancy and birth isn't a cute little tummy ache with flowers and a fluffy bundle at the end of it, it's a major stress on the mother's body and women can and do still die during labour even now. The current tide of anti-science bullshit written online about natural birthing is giving women the belief that if they need anything more than someone to catch the child as they push it out they've failed somehow. Even more frustrating is that demanding this hands-off approach from hospitals is one of the reasons there's the belief in the UK that there are too many c-sections being done, and they should be performed only as a very last resort when all else has failed.

I can understand people wanting everything to be relaxed and peaceful, but people also need to be realistic. Childbirth is a medical emergency, not a yoga session. At least two lives are on the line and if something goes wrong all the meditation and doulas in the world aren't going to do shit. The second something begins to go awry the birth plan should go out of the window and ob/gyns should be putting the lives of mother and baby first. It's baffling that the current medical belief in the UK is to perform c-sections as few times as possible. A c-section is a perfectly legitimate option that saves lives and prevents injuries to both mother and child. No woman should be made to keep trying to push a baby out naturally while staff dither over whether to call the ob/gyn or make excuses that it'll take the anesthetist too long to get there (:powerlevel:).

@Fareal, I hope everything goes okay with your labour and birth.
 
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