Elouise Winship

1. 1. lack of documented regime for fetal heart auscultation after opiates

   “although a Local Serious Review was undertaken following [the deceased]'s death in which it was agreed that the fetal heart should have been auscultated on a tegular basis following administration of opiates to the mother, there is no documented regime by which this has been adopted into standard practice”

2. 2. delayed further examination after maternal condition change

   “there should be a further examination of mothers with fresh observations being undertaken following a recognisable change in the mother's condition, regardless of the phase or anticipated progress of the labour”

No published response was found on judiciary.uk.