Source · Prevention of Future Deaths

Essa Shah

Ref: 2014-0250 Date: 2 Jun 2014 Coroner: Tom Osborne Area: Bedfordshire & Luton Responses identified: 1 / 1 View PDF

Crucial literature on the dangers of co-sleeping is only available in English, preventing non-English speaking mothers from accessing vital safety information.

Date 2 Jun 2014

56-day deadline 28 Jul 2014 est.

Responses identified 1 of 1

Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary

Crucial literature on the dangers of co-sleeping is only available in English, preventing non-English speaking mothers from accessing vital safety information.

View full coroner's concerns

1. That the literature, setting out the dangers of co-sleeping which the hospital hand to new mothers being discharged, is only available in the English Language.

Responses

1 respondent

Luton Dunstable University Hospital NHS / Health Body

28 Jul 2014 PDF

Action Planned

Luton and Dunstable University Hospital will ensure Feeding Packs are created containing a UNICEF leaflet in Bengali, Punjabi, and Urdu to advise of the dangers of co-sleeping. Community Midwives will also be equipped with iPads to facilitate communication. (AI summary)

View full response

Dear May 2nd they will they

DoH no longer produces this leaflet we are not able to approach them for their assistance However, UNICEF produce a leaflet called "Sharing a bed with your baby" which is available in 11 languages, three of which are relevant to the population we serve The Trust will now ensure Feeding Packs are created containing this leaflet in Bengali, Punjabi and Urdu; the leaflet is not available in Polish so we will continue to use the video we have produced and verbal communication_ We hope this addresses your concerns

Report sections

Investigation and inquest

On the 30th of October 2013 I commenced an Investigation into the death of Essa SHAH aged 8 weeks. The Investigation concluded at the end of the Inquest on 21st May 2014 at which I recorded an ‘Open Conclusion’, the medical cause of death being :

I (a) Unascertained (Sudden Unexpected Death in Infancy)

Circumstances of the death

Essa Shah was eight weeks old when he went to sleep in the same bed as his mother on 17th October 2013 following a feed. Mother and father were smokers. He was later found unresponsive.

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Report details

Reference: 2014-0250
Date of report: 2 June 2014
Coroner: Tom Osborne
Coroner area: Bedfordshire & Luton

Responses identified

Responses identified 1 of 1

All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 28 Jul 2014 (estimated).

Sent to

Luton and Dunstable University Hospital

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.