WOMEN’S HEALTH

'Underemphasis on Savita's condition'

Source: IrishHealth.com

April 2, 2013

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  • The HSE report into Savita Halappanavar's death says there was an overemphasis by University Hospital Galway on an unviable foetus and an underemphasis on Ms Halappanavar's seriously deteriorating health.

    The report says the inquiry into her death found there was an apparent overemphasis on the need not to intervene until the foetal heart stopped, together with an underemphasis on the need to place appropriate attention on monitoring for and managing the risk of infection in the mother, according the Irish Times.

    Ms Halappanavar's husband, Praveen is dissatisfied with the report, which was delivered to his solicitor last Friday. It has not been confirmed at this stage when the final version of the report will be published by the HSE.

    Mr Halappanavar says he will not meet the inquiry chairman, Prof Sabaratnam Arulkumaran, but that his solicitor, a family friend and a medical expert will meet the chairman later this week to discuss the report's contents.

    The final draft report highlights serious shortcomings at all levels in Ms Halappanavar's care at University Hospital Galway.

    Ms Halappanavar was admitted to University Hospital Galway on Sunday October 21 last and was found to be miscarrying. The report says white blood-cell count was elevated, which indicating an infection.

    She was seriously ill by the evening of Tuesday October 23, but that this was not acted on; her team saw her on the morning of Wednesday 24th and she had deteriorated further, but still this was not acted on adequately.

    The report says that further blood samples were not taken until later that day and the high dependency unit did not get involved until the Wednesday evening, after the foetal heartbeat had stopped.

    The report says the possibility of performing an abortion was discussed by the medical team on the Wednesday but Mr Halappanavar was unaware this had been discussed.

    The couple's request for a termination on the Tuesday is acknowledged in the report, but not in the medical notes. The report refers to difficulties in interpreting the law on abortion in relation to the case.

    Mr Halappanavar's solicitor Gerard O'Donnell says his client feels the report does not address why Savita Halappanavar died and did not answer the question as to why the request for a termination was not acceded to even when Ms Halappanavar became ill and her life was in danger.

    Savita Halappanavar died on October 28 last of septicaemia.

    The coroner's inquest into her death is due to resume in Galway next week.

    According to the HSE, exactly when the review report is formally published will depend on what input Mr Halappanavar may wish to see reflected in the report.

    There may therefore be a further draft of the report drawn up before it can go to Cabinet and be formally published by the Minister for Health and the HSE, a spokesman said.

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    © Medmedia Publications/IrishHealth.com 2013