Misadventure verdict in hospital death
A VERDICT of medical misadventure has been returned at the inquest into the death of a woman whose uterus ruptured after she was medically induced at the Rotunda Hospital to deliver her stillborn baby.
Bimbo Onanuga (32), a Nigerian-born mum of one who lived in Finglas, Dublin 11, died on March 4, 2010, from massive internal bleeding.
Doctors at the Rotunda discovered the rupture during an emergency caesarean section after Ms Onanuga went into cardiac arrest.
The court heard that the baby had delivered through the rupture into the abdominal cavity. She was subsequently transferred to the Mater Hospital where she died later that day.
On the final day of the inquest, the Master of the Rotunda, Dr Sam Coulter-Smith, denied claims by Ms Onanuga's partner, Abiola Adesina, that he told the family that her death was "due to a series of mistakes".
He said when he spoke to the family he did not have sufficient information to say that there had been errors.
The inquest had previously heard the post-mortem found that the placenta had implanted at a part of the uterus which had previously been weakened and thinned by scarring. This was the site of the rupture.
Ms Onanuga had previously had a termination and Dr Coulter-Smith said that it was "probably reasonably safe to assume" that the scarring had been caused by an unrecognised perforation during that procedure which predisposed her to rupture.
The family had raised concerns about the use of ulcer medication misoprostol, which is not licensed for this purpose, in the induction of Ms Onanuga's labour.
Returning a verdict of medical misadventure, Coroner Dr Brian Farrell said that the principal risk factors were the pre-existing scar and the misoprostol which caused the uterine contractions.