Obstetrics / Medical problems

Cardiac disease

Cardiac disease and problems with labour

Success story

Cecily was born with Tetralogy of Fallot and underwent cardiac surgery to repair this as an infant. During her first pregnancy, she went into premature labour at 33 weeks. The labour progressed spontaneously and a Neville Barnes forceps delivery was performed for a face presentation. The placenta was retained and she suffered a major postpartum haemorrhage. She went to theatre for manual removal of the placenta and repair of a third-degree tear before being admitted to the High Dependency Unit for careful monitoring of her cardiac condition. She made a slow recovery, but raised concerns about her obstetric and post partum care. PMS Expert Report investigated, but could not find any evidence of negligence. Her condition was monitored carefully at all times, and the forceps delivery was entirely appropriate for the situation. Cecily has not suffered any long term physical damage. The case was dropped.

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