“1, The lack of prompt action when a woman presents with an antepartum haemorrhage (APH)”
Dated 22 Jul 2024, from the coroner for Nottinghamshire. 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 16 Sep 2024.
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 dated22 Jul 2024
- Deadline16 Sep 2024
- Published on judiciary.uk1 Aug 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Sherwood Forest Hospitals NHS Foundation Trust | Response publishedPublished on judiciary.uk in August 2024. |
The coroner’s concerns
– 1, The lack of prompt action when a woman presents with an antepartum haemorrhage (APH). This Inquest revealed a culture within the midwifery team of not acting promptly when there is vaginal bleeding in pregnancy. There was an assumption that there was a benign cause for bleeding, rather than assuming, until proven otherwise that there is a serious cause, such as an abruption, that may require immediate intervention. Well established APH Trust guidance was not followed I set out that difficulty in effectively managing APH is also an accepted issue, for the neighbouring NUH NHS Trust , who are currently reviewing their guidance, and approach to managing APH. It is clearly a regional issue and may be a national one. I am not reassured that necessary actions to address these serious issues identified are 6 7 in place.
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, 2024-0392
- Added to Minute Book
- 8 Oct 2026
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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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