A BABY was still-born because a hospital decided to send a critically ill pregnant woman on a two-hour ambulance journey without a blood transfusion on board, the High Court has heard.
Had the ambulance been equipped with the blood and staff to administer it, dentist Fiona Ni Chonchubhair's second child Aodh would have survived and she herself would not have suffered the trauma and anger that resulted from the death of her baby, the court heard.
When the ambulance, sent from Kerry General Hospital in Tralee on a 71-mile trip to Cork Regional Hospital, arrived with Ms Ni Chonchubhair (36), who was nearly 32 weeks' pregnant and bleeding internally, it took another 15 to 20 minutes for the crew to locate the accident and emergency unit, the court also heard.
Ms Ni Chonchubhair, of Countess Road, Killarney, Co Kerry, was operated on and received six units of blood to replace what she had lost, but it was too late for the baby, who was delivered still-born by emergency Cesarean section on May 16, 2009.
Yesterday, on the opening day of Ms Ni Chonchubhair's action against the HSE over negligence and breach of duty, counsel for the HSE Emily Egan offered her client's apologies for what had happened to her and her husband Stephen Cotter.
Liability was admitted and the case is before Mr Justice Sean Ryan for assessment of damages.
The court heard the HSE had carried out an internal review of what happened to Ms Ni Chonchubhair and made 12 recommendations to ensure it would not reoccur.
However, she told the court she lacked any confidence that the recommendations would be followed.
In her action, Ms Ni Chonchubhair, who gave up her job as a dentist and is now a full-time mother of three with another on the way, is claiming damages for severe personal injury and personal shock.
She claims that she continues to experience flashbacks of the trauma she underwent and has intermittent outbursts of anger, emotional detachment, broken sleep, poor concentration and loss of interest.
She experiences anger towards the hospital, her counsel Eugene Gleeson told the court.
Had she received a transfusion en route, she would have suffered a less severe level of hypovolaemic shock which resulted in the baby not getting enough oxygen, he said.
Ms Ni Conchubhair told the court that she became so anxious to avoid a repetition of what happened that in her two last pregnancies, for the last three months of each, she rented a house in Cork to make sure she would be near Cork Regional and not Kerry General.
Her husband Stephen, an orthodontist, told Mr Justice Ryan that as health professionals, their confidence in general had been "shattered" by the experience.
Before this had happened, Fiona was a happy-go-lucky person but subsequently she gave up socialising and did not like to go out, he said.
The hearing continues.