Dear List Many of you are probably all too aware of the Galea case. I just came across it looking for info on what effect might an epidural given to the mother in labour have on the foetal heart rate? http://www.courts.sa.gov.au/courts/coroner/findings/findings_2002/galea.finding.htm
Is anyone aware of the outcome for the midwife concerned? I am surprised anyone would be willing to work in these hospitals when so many protocols go against what so many of us believe about normal labour. I include some of the findings for those who are interested (scared me!). Does anyone think the midwife acted inappropriately? Tell me to drop the subject if this is not the forum for such a discussion. Thanks Fiona 4.6. Decision to use
Syntocinon/assessment of progress of labour
4.7. Professor Pepperell expanded upon this in oral evidence, given via video-link with Melbourne, as follows:
4.8. Dr Jodie Dodd is now a Consultant, but at the time was the Obstetric Registrar on duty, and was the Registrar with whom Midwife James conferred at 6:00am on 30 December 1998. Dr Dodd acknowledged that it was standard procedure to perform a vaginal examination before deciding to augment labour with Syntocinon (T164). 4.9. Dr Dodd was unable to recall the details of the conversation with Ms James, which is not surprising given the lapse of time since then. She said that she would normally ensure that a vaginal examination had been done, either by the midwife, the Intern, or personally (T164). She was sure that if it had been brought to her attention she would have done so, but could not say that it was, or was not (T173). It seems that the most likely explanation of her failure to arrange for a vaginal examination was that she overlooked it, or assumed that the midwife had done it (T168). 4.10. Ms James, on the other hand, asserted that she had no trouble recalling the incident. She said that she would not perform a vaginal examination unless directed to do so by a Senior Midwife or Medical Officer (T100). She also said that she was sure that she drew the fact that Mrs Galea had not had a vaginal examination to Dr Dodd’s attention, although she could not specifically recall the conversation (T113). 4.11. I have serious doubts about Ms James’ veracity on this issue. She has been a Registered Midwife since 1973, having trained in the United Kingdom, and had been at FMC since 1996. 4.12. It is my firm impression, after hearing both witnesses, that if the matter had been drawn to her attention, Dr Dodd would have either performed a vaginal examination herself, or asked Ms James or Dr Magno to do it. I do not believe Ms James when she alleges that she drew the matter to Dr Dodd’s attention. I find that the topic was not raised by either person, each perhaps assuming that the other had attended to it. |
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