Delays during labour lead to hysterectomy for first time mum

Miss G, aged 22, was admitted to hospital to give birth to her first baby.  Her labour was slow and she was given a drug called Syntocinon to try and progress the labour but this failed.  Despite being fully dilated the baby’s head had not descended.  The delivery team discussed using forceps but it was eventually decided that they would need to proceed to an emergency Caesarean Section.  Miss G was delivered of a healthy baby boy but within 3 hours of her son being born she was rushed back to theatre.  Her heart rate was excessively fast, her blood pressure was low, her abdomen was distended and she was bleeding into a drain which had been placed during the earlier procedure.  Miss G required open surgery that evening.  She was found to be bleeding from an extension of the uterine incision which had not been repaired at the time of the Caesarean Section.  This was repaired and the bleeding stopped but over the next few days she remained very unwell and she was commenced on antibiotic therapy.

A week after her son was born Miss G required a second open surgery as a bowel injury was suspected.  No injury to the bowel was identified but the following day she was taken to theatre again for a third open surgery where it was found that her uterus was necrotic.  The only solution was a hysterectomy following which she was transferred to intensive care.

Miss G was discharged from hospital after 3 weeks but required a readmission almost immediately when she haemorrhaged and required treatment for a pseudo aneurysm.  She was an inpatient for a further 2 weeks and then discharged home.  The significant surgical wounds to Mrs G’s abdomen were slow to heal and a year after her son was born she required further surgery to repair a hernia and revise her scarring.

We investigated and pursued a claim for Miss G arising out of the long term, life changing injuries she had suffered and the NHS Litigation Authority accepted on behalf of the Trust which managed the hospital that it was negligent to have delayed in not carrying out a Caesarean Section earlier.  By leaving it so late, it made the operation more complex and it was also negligent to fail to repair the extension of the uterine incision.  These failures led to Miss G’s uterus becoming so severely infected that it had to be removed.  The outcome of this was that while she could have further biological children as her ovaries had been retained, she would not be able to carry them without a womb and she would therefore need medical assistance by way of IVF and a surrogate.

The investigation into the extent of Miss G’s injuries was lengthy.  In addition to long term physical injuries, Miss G suffered depression and Post Traumatic Stress Disorder and required medication and therapy.  From her son being born he was cared for almost entirely by his grandparents and aunt.  Miss G missed the first 6 – 8 weeks of his life.  Physically she recovered to return to work 8 months after her son’s birth to her job in a care home but she was unable to cope, mentally and physically,  with the type of work and she found sedentary work in an office.

The solicitors acting on behalf of the NHS made a low offer in the first instance and it became necessary to start court proceedings as an agreement could not be otherwise reached.  The claim eventually settled only 3 months before a trial was set to take place in the High Court at Newcastle upon Tyne District Registry.  In addition to obtaining compensation for her physical and psychiatric injuries, we were able to recover compensation which would allow Miss G to pay for IVF and the costs and expenses associated with having a surrogate carry  at least 2 future children for her.  The claim settled for over £200,000.

Compensation cannot replace what Miss G lost on what should have been one of the happiest days of her life.  However, by pursuing a claim she has secured the ability to extend her family as she had always planned to.

If you have been affected by medical treatment in a similar way or know someone who has suffered like Miss G has please do not hesitate to get in touch.  We are dedicated to helping patients injured through negligence recover compensation and we are happy to discuss your experiences with you and help where we can.

Ashleigh Holt – March 2017