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Millie-Rae Needham

25 Apr 2022 · Coroner Abigail Combes · South Yorkshire (West District)
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The coroner's concerns

  1. 1. delay in delivery and inadequate monitoring of fetal heart rate

    “A decision was made by the midwife who had been with throughout her delivery to move to an episiotomy. Instead, the midwife that came to support encouraged further position changes leading to delay in delivery and inadequate monitoring of the foetal heart rate. Whilst the decision seek support for the episiotomy is not one which I would criticise, people should always be able to ask for help when needed, the fact that the midwife who was with was talked out of this so readily resulting in avoidable”

Responses

No published response was found on judiciary.uk.

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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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Millie-Rae Needham · Recurance