Baby death shows need for collaborative care

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The death of a baby during delivery demonstrates the need for collaborative arrangements between doctors and midwives ...

A coronor ruled this week that a baby girl who died of asphyxia ... had not been “adequately monitored” during labour and could have potentially been saved if the midwife had referred the case to an obstetrician earlier on.

... coroner John Hutton, made 21 recommendations, many of which involved models of collaborative care to ensure women and their babies are better protected from inadequate care.

President of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG), Dr Rupert Sherwood said the inquest highlighted why the college has always insisted on collaborative arrangements between doctors and midwives.

... “This highlights two critical aspects of good collaborative care between midwives and doctors.

“Namely the importance of following established protocols such as fetal heart monitoring when indicated, and timely referral to another member of the team with training and expertise to intervene in a safe and timely manner’ ...