Maternl death during second childbirth following uterine niche repair

We represented the family of a young woman who tragically died while giving birth to her second child. Her death was reported to have been the result of a uterine rupture and amniotic fluid embolism. Our role involved providing support at the inquest into her death.

She had previously undergone a caesarean section for the delivery of her first child, who was breech. Following this, she experienced pain and intermenstrual bleeding and was found to have a uterine scar niche which was surgically repaired. She was advised not to become pregnant for three months afterwards and to discuss the mode of delivery in any future pregnancy with her obstetrician.

She became pregnant in the summer of the following year. The pregnancy was relatively uncomplicated, and she was advised that, despite the surgery to repair her uterine niche, she could attempt a vaginal delivery. She was informed that her risks were no higher than those of any other woman attempting a vaginal delivery after one previous caesarean section.

She was admitted to hospital the day after her waters broke. As her labour was not progressing, options for inducing her were discussed. It was agreed that her labour would be induced using syntocinon, a medication that stimulates uterine contractions.

Tragically, the young woman collapsed during labour and an emergency caesarean section was performed to deliver her daughter. Despite resuscitation efforts, the mother sadly passed away.

At the inquest, it was disclosed that there were conflicting views on the induction of her labour and various miscommunications. It was also noted that there was a lack of national guidance on the method of delivery following uterine niche surgery.

For further details on this case, click here.