Source · Prevention of Future Deaths

Faye Rippon

Ref: 2014-0349 Date: 28 Jul 2014 Coroner: Dr Elizabeth Earland Area: Exeter & Greater Devon Responses identified: 0 / 1 View PDF

Current protocols for late terminations of pregnancy (21/40 gestation) are inadequate as they lead to live births, causing distress and conflicting with the intent of Abortion Act amendments. Foeticide should be considered before induction at this stage.

Date 28 Jul 2014
56-day deadline 22 Sep 2014 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Current protocols for late terminations of pregnancy (21/40 gestation) are inadequate as they lead to live births, causing distress and conflicting with the intent of Abortion Act amendments. Foeticide should be considered before induction at this stage.
View full coroner's concerns
(1) write to express concerns that in this case performance of late terminations of pregnancy i.e. 21/40 gestation resulted in a live birth am aware your protocols for the use of a foeticide BEFORE induction of labour only allow foeticide to be used after this gestational date. However; believe the Abortion Act was amended specifically to avoid the problems posed with late terminations resulting in live births. (2)lt is extremely distressing for the midwives caring for the mother to be presented with a live which is not to receive life-saving medical attention, not to mention the lasting damage to the psyche of the parents_ (3)A similar case arose at Inquest in the Royal Devon and Exeter Hospital only six days ago so live birth post induction of labour for termination of pregnancy is not an isolated occurrence, aged baby

Report sections

Investigation and inquest
On the 19th February 2014 commenced an investigation into the death of Faye Elizabeth RIPPON, day. The investigation concluded at the end of the inquest on 21st July 2014, The conclusion of the inquest was Lawful termination of pregnancy_
Circumstances of the death
Baby was delivered prematurely 21/40 gestation on 8'h February 2014 at North Devon District Hospital, following medical termination of pregnancy with Mifepristone and Gemeprost on 6*h/7th February 2014 in order to save mother's life.
Action should be taken
Urgent review of current protocols in use to evaluate the need for routine use of foeticide in late lawful terminations of pregnancy to avoid the distress of a live birth: have not addressed the ethical issue of whether such babies should be left to die and would be interested to know what is the current legallethical position:

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Report details

Reference
2014-0349
Date of report
28 July 2014
Coroner
Dr Elizabeth Earland
Coroner area
Exeter & Greater Devon

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 22 Sep 2014 (estimated).

Sent to

North Devon District Hospital

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