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recurance

Mabel Williams (1)

8 Sept 2025 · Coroner Robert Sowersby · Avon

The coroner's concerns

  1. 1. uterine rupture

    “I reviewed the information leaflet and it does not contain any indication that uterine rupture could potentially prove fatal for mother and / or baby”
  2. 2. reliance on information leaflet

    “prospective parents may rely on this information leaflet to assist them in making informed choices about their birth options”
  3. 3. pursuing VBAC without understanding risk

    “if the risk is not identified then other patients like [REDACTED] might pursue VBAC in circumstances where - if they had understood the risk better - they would have chosen otherwise”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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