An investigation by Deputy Health and Disability Commissioner Rose Wall has found that a consultant obstetrician and gynaecologist breached a pregnant woman’s rights by sending her home despite red-flag symptoms of infection and abdominal pain.
The woman, who was 33 weeks pregnant and whose waters had broken, was discharged after treatment and medication, only to return with worsened symptoms.
Her baby died in utero when she returned the following day as contractions began.
The report highlighted that the woman should have been admitted for full investigations, given the subtle yet rapidly developing nature of chorioamnionitis. The doctor acknowledged the mistake and would work to ensure it does not happen again. Wall recommended using the case for educational purposes and updating obstetric protocols to emphasise thorough assessment of potential infections.
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