The Patels’ son, Anant, died two days after birth at Brampton Civic Hospital.
His death was caused by complications from a birth-related blunt head injury, according to the findings of a coroner’s examination. This head injury included a scalp laceration, significant bleeding between the baby’s scalp and skull, and bleeding outside of his brain.
Throughout my pregnancy he was perfectly healthysays Swati Patel.
We do our best to meet the doctor who took care of the delivery, to ask the questions, but this has never happened.
Instead, the couple met with Civic Hospital management six months after their son’s death to review a quality of care committee review conducted by the health system. But the report did not mention the birth doctor and largely focused on potential issues with their baby’s postnatal care.
The meeting and review fell short of the accountability and apology the couple say they expect – which a patient protection specialist says are often hard to come by in Canada given fears of ramifications legal.
It really shouldn’t be this hard to get an apologysays Kathleen Finlay, CEO of the Toronto-based Center for Patient Protection.
That’s all most people want. They are not looking to make a lot of money from a huge litigation settlement.
The hospital presents its
William Osler Health System, which operates Brampton Civic Hospital, says in a statement to CBC that it cannot provide specific details or comments due to its policies and to protect the privacy and confidentiality of family.
William Osler Health System expresses its sincere condolences to the family for their losswrites spokeswoman Emma Murphy.
We have a robust quality of care review process in place to assess patient care. This process includes engaging with the family throughout the comprehensive review and providing ongoing support to the family.
Two days after their baby died, a hospital social worker called the Patel couple and offered condolences and emotional support.
The quality of care report indicates that vacuum assisted delivery
may have contributed to subgaleal hemorrhage/subdural hematoma. This is the only time a potential problem with the birth of the baby is mentioned.
This type of birth involves the doctor placing a small cup on top of a baby’s head to use suction to help extract the newborn when the birth is not progressing.
The Patels filed a complaint against the obstetrics doctor with the College of Physicians and Surgeons of Ontario (CPSO) in January. Their complaint will go to a committee later this month to determine whether disciplinary action against the doctor is warranted.
TurnedNews.com and CBC are not naming the doctor because no allegation of professional misconduct has been brought against him by the college at this time.
The couple say they were not consulted
In their complaint to theCPSOthe couple allege the doctor caused an injury to their baby’s scalp during labor and failed to notify the neonatal intensive care unit (NICU) of the injury and blood loss or obtain informed consent for a vacuum extraction, that he also failed to properly perform the birthing procedure that caused the baby’s injury, and that he failed to meet with the family to discuss what had happened despite requests.
Hospital records reviewed by CBC include doctor’s notes and reports. In these records, the doctor says the risks and benefits of vacuum assisted delivery were explained to the couple and Swati Patel agreed to do so.
The doctor’s notes also indicate that
there was bleeding observed at the time of cupping after removal of the electrode from the scalp – it is not known if there was a detachment or if the blood was coming from the vagina and that the doctor has
be careful not to pull hard due to difficulty in maintaining suction with the suction cup.
The doctor took the electrode out of the scalp and [le docteur] put on the vacuum cleaner and tried to suck with the suction cup. At that time I saw a lot of bloodrecalls Manish Patel.
Later, when I described to SickKids Hospital what I saw, the doctors at SickKids told me that this blood was actually the baby’s blood.
The Patels say their baby was very pale when he was born on August 29 and, according to records, had
low respiratory effortso he was taken to theNICU .
The William Osler Health System Regional Transportation Team was unable to provide transportation
fast baby care at Toronto SickKids Hospital, so the team atNICU tried to figure out what was wrong with the newborn while receiving directions over the phone from SickKids until the transport team arrived, according to the quality of care review.
The report goes on to state that the early identification of a possible head bleed (later determined to be from the scalp lesion in the post-mortem report) was also delayed because a protocol for measuring head circumference n was not followed, the staff having prioritized the baby’s breathing.
Going forward, the quality of care committee recommended reinforcing the protocol with frontline staff and monthly audits to monitor compliance.
Blood loss went under the radar for hours, parents say
The couple say their baby’s care team didn’t determine their son needed blood until several hours after he was born, when the specialist transport team arrived, took charge of the care and ordered a blood transfusion.
As soon as they transplanted the blood to where the scalp electrode was inserted [ce type d’électrodes est parfois utilisé pour mesurer le rythme cardiaque du nourrisson, NDLR]blood started coming out of that wound, and then they knew the baby was hurt, Swati Patel told CBC.
The autopsy report confirms that
during transfer, a subgaleal hemorrhage was noted as well as bleeding from the scalp laceration, the latter resulting in several absorbent pads becoming soaked with blood.
Tests and imaging at SickKids after Anant’s transfer revealed the extent of the little boy’s irreversible brain damage and the severity of the blood loss: his heart was unable to pump enough blood to other parts of the body , causing his organs to fail.
The ventilator the infant was connected to was disconnected and he died on August 31. Her mother says she is still haunted by what happened and hopes that by speaking out she can prevent such a tragedy from happening to others.
I can’t sleep at nightshe testifies.
I dream that I am in the hospital looking for the baby.
healing solutions required
Kathleen Finlay of the Center for Patient Advocacy says an apology can be a powerful healing tool for patients and their families, without necessarily putting Canadian hospitals and physicians at legal risk.
years of apology legislation, which ensures that an apology cannot be used in legal proceedings”,”text”:”In Ontario, for example, we have had apology legislation for over 10 years. apologies, which ensures that an apology cannot be used in legal proceedings”}}”>In Ontario, for example, we have had apology legislation for over 10 years, which ensures that an apology cannot be used in legal proceedings.underlines Ms. Finlay.
It is never considered an admission of guilt, but rather an admission of regret and grief.
Most other provinces and territories have similar laws.
The Center has also advocated for hospitals to appoint compassionate leaders to ensure patients are listened to and treated in a way that takes their trauma into account.
We really need to find much better, faster, simpler and more effective healing solutions so that families can move on.continues Kathleen Finlay.
It’s really important.
For their part, the Patels are awaiting the outcome of their complaint against theCPSO.
I’ll do my best to do everything until justice is doneassures Swati Patel.
With information from CBC’s Nicole Brockbank