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Coroner Finds Preventable Failures in Warrington Home Birth Service
A shortage of midwives and equipment failures delayed transfer to hospital, causing brain injury and death of newborn Pippa Gillibrand, coroner finds.
- On September 5, 2024, Cheshire coroner Victoria Davies concluded that `Pippa Gillibrand died as a result of a brain injury sustained due to an avoidable delay in her delivery`, Ms Davies said.
- The home birth team from Warrington and Halton Hospitals NHS Foundation Trust was already at another labour when Victoria Gillibrand went into labour on 25 August 2024, and the coroner found missed opportunities to suspend the service and advise hospital transfer.
- Midwife arrival at about 8.15am brought incorrect equipment and laptop issues; after 9am monitoring checks every five minutes lapsed and a decision to transfer at 10:00 led to forceps delivery at Warrington Hospital.
- Ms Davies said she will write to Health Secretary Wes Streeting, NHS England and NICE to raise concerns, while Warrington and Halton Teaching Hospitals NHS Foundation Trust accepted findings and remodelled its service; outside court, Victoria and Tom Gillibrand said they were failed and demanded change.
- Given community midwives assisted about three labours a year, Coroner Victoria Davies said she will issue a report to raise concerns about lack of national guidance and data collection, following a Manchester coroner's previous prevention report last year.
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Warrington hospital's home birth service played 'Russian roulette' with lives, grieving father says
Thomas and Victoria Gillibrand's baby, Pippa, who died from a severe brain injury "sustained due to an avoidable delay in her delivery", may have lived if staff had brought the mother into the hospital earlier, a coroner has said.
·United Kingdom
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Evening Standard+5 Reposted by 5 other sources
Home birth service played ‘Russian roulette’ with lives, father says
Pippa Gillibrand died aged 12 days after delays in delivery, an inquest heard.
·London, United Kingdom
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Dad says NHS trust ‘played Russian roulette’ after baby died following home birth delay - The Mirror
Victoria Gillibrand, 33, gave birth at her home in Warrington to baby Pippa but there was an "avoidable delay" in delivery which caused a severe brain injury to the child, an inquest heard
·London, United Kingdom
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Total News Sources14
Leaning Left5Leaning Right2Center7Last UpdatedBias Distribution50% Center
Bias Distribution
- 50% of the sources are Center
50% Center
L 36%
C 50%
14%
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