“At 02.40 on 26 August 2014 whilst in labour Mrs Brady was subjected to an abdominal and a…”
Dated 23 Mar 2016, from the coroner for Teesside. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedReplies were due by 18 May 2016.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated23 Mar 2016
- Deadline18 May 2016
- Published on judiciary.uk23 Mar 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| South Tees Hospitals NHS Foundation Trust | Response publishedPublished on judiciary.uk in March 2016. |
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
- At 02.40 on 26 August 2014 whilst in labour Mrs Brady was subjected to an abdominal and a vaginal examination. The results of the examination did not correlate. Despite this fact no further investigations, to include an ultrasound scan, were undertaken to confirm Lincoln's presentation. This resulted in Mrs Brady being considered a low risk delivery and a breach position not being diagnosed. In turn this prevented appropriate planning regarding a preferred method of delivery.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2016-0118
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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