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The Skåne lex-Maria region now reports a total of five incidents in maternity wards. They occurred during the period from September 2019 to February 2020.
All events are believed to be related to weaknesses in staff monitoring of the so-called CTG curve that shows the baby’s pulse in relation to uterine contractions.
Of the three deaths, two occurred at the time of birth in Lund and one in Malmö.
Have severe brain damage
A woman who was pregnant at week 29 sought emergency care in Lund due to reduced fetal movements and contractions. The doctor decided to have a new checkup two days later; by then the boy had died.
• A woman who was pregnant at week 30 arrived in Malmö with abdominal pain and contractions. CTG went off and on again. Doctors performed an emergency cesarean section, but the baby’s life could not be saved.
A woman came to Lund several times with reduced fetal movements. CTG was not handled correctly. When she delivered by emergency cesarean section at week 37, the baby had severe brain damage and died a few days later.
Could have received medical injuries
Two other incidents in Lund and Malmö could have resulted in serious medical injuries. There is also a connection to the way the staff acted on the basis of deviated CTG curves.
– We take a closer look at all incidents where unexpected complications occur and report them in our diversion system, Pia Teleman says in a press release.
– After that, each case is carefully investigated and from that work we take what we need to improve and what we can learn.
Managers haven’t found anything to indicate problems with staffing or workload.
