Louie Bradley
21 Aug 2018 · Coroner John Pollard · Manchester (West)
The coroner's concerns
1. inadvertent co-sleeping leading to infant death
“The midwives at your Hospital gave evidence that they still advise breastfeeding in bed whilst lying side-by-side with the baby even if no-one else is present and the mother is obviously fatigued, this leads to 1 inadvertent co-sleeping and as in this case can lead to death”
2. incomplete documentation of patient information and advice
“The standard Trust issue documentation was not (properly) completed with the omission of vital information such as mother's name, GP Practice, address etc.; similarly advice allegedly given to patient was not documented.”