一名联合王国验尸官裁定,忽视和医疗失误导致2024年在家分娩期间母亲和新生儿死亡。
A UK coroner ruled that neglect and medical failures caused the deaths of a mother and newborn during a home birth in 2024.
一位验尸官裁定,Jennifer Cahill, 34, 和她刚出生的女儿Agnes于2024年6月在英国Prestwich在家分娩时死亡, 是由“严重失灵”、“灾难性错误”和医疗疏忽造成的。
A coroner has ruled that the deaths of Jennifer Cahill, 34, and her newborn daughter Agnes during a home birth in Prestwich, UK, in June 2024, were caused by "gross failures," "catastrophic error," and neglect in medical care.
Cahill死于产后严重出血造成的多机体衰竭,Agnes则死于长期的脊髓压缩导致的缺氧。
Cahill died from multi-organ failure due to severe postpartum hemorrhage, while Agnes died from oxygen deprivation after prolonged umbilical cord compression.
调查发现产前护理不足、缺少生育计划、无法监测婴儿的心率、助产士没有遵守标准规程。
The inquest found inadequate antenatal care, a missing birth plan, and failure to monitor the baby’s heart rate, with midwives not following standard protocols.
验尸官称这一结果在现代是可预防的,并称其为“维多利亚时代的悲剧”,促使曼彻斯特大学NHS基金会信托基金对其家庭分娩服务进行彻底改革。
The coroner called the outcome preventable and a "Victorian-aged tragedy" in modern times, prompting Manchester University NHS Foundation Trust to overhaul its home birth service.