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Coroner Writes To Hospital After Baby's Death

Thursday August 15 2013


Barnsley Hospital Barnsley Hospital


A CORONER has written to Barnsley Hospital asking for a review of its records for mothers and babies following the death of a one-day-old boy.

Dylan Clarke died in January 2012 after an infection suffered by his mother, Danielle, wasn't noted in his medical records and the paediatrician who discharged them was unaware of it.

Deputy coroner Neil Fox said in the letter that miscommunication could be reduced, as well as workloads, by having just one form for patients which could be used both within the hospital and in the community.

He asked the hospital to consider streamlining the report format.

Danielle, of Elmwood Way, Barnsley, gave birth to Dylan on January 5.

A report to the hospital's board of directors said a urine sample from a previous admission had shown Danielle had an infection.

She was given intravenous antibiotics for a raised temperature and increased pulse prior to inducing labour and the midwife documented her as 'high risk' as a result.

There were no complications during the birth and Dylan was found to be behaving like a normal, healthy baby.

Danielle and Dylan's records were filled in, but Danielle's infection was not recorded as part of the baby's records.

This meant a paediatrician, who examined Dylan before discharging both him and Danielle, was unaware of the infection and the antibiotics Danielle had been given.

They left the ward at 7pm, but overnight Dylan became cold.

He was wrapped in an extra blanket and Danielle and husband Mathew took him to accident and emergency at 7am the next day - where he was declared dead.

A post mortem revealed the baby died of pneumonia.

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Reply Posted by bdghisadisgrace on Thursday August 15 2013 at 10:07
BDGH is absolutely disgusting, the paediatrician needs striking off and a massive fine that would go to Danielle and Mathew, although it would not pay for there loss of there precious little boy but it would pay for them a break away and maybe a memorial for Dylan. rip baby, you wasn't ment to go so soon xxxxxx

Reply Posted by LV on Thursday August 22 2013 at 22:42
The paediatrician wasn't the one at fault - how was he/she to know if it hadn't been documented? It's the fault of whoever filled out the record. Alas this doesn't change the fact that an innocent baby was lost and his family are now suffering as a result.

Reply Posted by Debbie Marks on Thursday August 15 2013 at 10:09
I cannot believe this is still happening.. my daughter Lucy died 20 years ago from the same infection... we took the trust to independant review...alas nothing changes...my while life hss been ruined by the incompetency of one person...my heart goes out to this family..xxx

Reply Posted by Gail on Thursday August 15 2013 at 10:38
This hospital is garbage! My heart goes out to baby Dylan's family, so sad!

Reply Posted by Katie on Thursday August 15 2013 at 10:38
Why does the paediatrician need striking off! If u read it it says the paediatrician discharged the patient UNAWARE of the infection! It was noted down! It's not the paediatricians fault he discharged that patient n didn't know of the infection! The person who didn't note it in her records needs striking off! My heart goes out 2 this family. Rip little one. X

Reply Posted by d on Thursday August 15 2013 at 10:46
My father in law had to wait over 10 hours fir a bed other week he 80 years old they don't supprise me at all hope they get struck off rip little man

Reply Posted by bdghisadisgrace on Thursday August 15 2013 at 10:46
Katie there was a lack of communication, all that was looking after danielle and Dylan should have known about the infection, including the paediatrician! I had my son in bgdh and the paediatrician told me my baby was ok and we was discharged to later realise he had meningitis, thank the lord he got through it. the labour ward try and send you home asap for spare beds.

Reply Posted by donna on Thursday August 15 2013 at 11:35
I had my boy on new years eve 2011 and was discharged on 4th of January 2012 the midwives and staff were rushed off their feet I know it shouldn't have happened but if there were more midwives mistakes wouldn't happen r.i.p little one and my heart goes out to his family xx

Reply Posted by Clayton on Thursday August 15 2013 at 12:33
Same here donna i was in this year... didn't let me out till 4 days later because there was only 1 peadiatrician on covering 3 departments including the poorly babies. I made no fuss even though all i wanted to do was be home with my newborn, everyone on the ward was in the same boat but when you know there are sick children being seen to first you can't complain about going home when you're lucky enough that your baby is ok!... although there were a few that did! I completely agree more staff is needed at this hospital as the staff that were there were so pushed to the limit you could tell just by looking at them they were exhausted.

Reply Posted by Gail on Thursday August 15 2013 at 12:46
To bdghisadisgrace, i also had my
Son at barnsley, we were also discharged to return not that long after because he had meningitis!! We nearly lost him! Its scary stuff.

Reply Posted by Gail on Thursday August 15 2013 at 12:52
I also agree that they arnt enough staff!! I had my baby 13 weeks ago, and he wasnt even seen by a peadiatrician before being discharged!! It was a midwife who did all that the peadiatrician should have done, checking his hips eyes ect ect!!!

Reply Posted by bdghisadisgrace on Thursday August 15 2013 at 22:50
gail, it is very scary. I hope your little one is doing great now. my thoughts go out to dylans family

Reply Posted by Sad on Tuesday August 20 2013 at 09:19
Gail, midwives can be trained to do the baby checks that the paediatricians do. The training for midwives is also much more strict than that of the paediatricians!

Reply Posted by Me on Tuesday August 20 2013 at 09:25
The ward got closed when I wa in in 2009, not enough midwives to cover beds, i ad so many different people nip in & check on me: no wonder I ended up with an emergancy c- section.. After 3 days we were then released without seein the paediatrician as they were still understaffed.. A midwife came out the next day to do his job for him!
RIP little one x

Reply Posted by GetALife on Tuesday August 20 2013 at 10:34
God, didn't you all know paediatricians are mind readers? Oh wait their not, If it hasn't been written down then how are they supposed to know the correct information? Putting blame on this one person is ridiculous, there has been a serious break down of communication and i'm sure it is being dealt with, without your speculation and career damaging comments.

Reply Posted by Tired of hearing it on Tuesday August 20 2013 at 18:08
Unfortunately humans make errors from time to time, usually whilst under huge stress due to staff shortages. My heart goes out to poor Dylan's family and I can only hope they find some peace in knowing that he didn't suffer. Please stop suggesting that the whole hospital is 'disgusting' because of one incident or error. Yes, many more incidents or errors will be made, same as in any hospital. Sometimes things are complex and incorrectly diagnosed, or totally missed. Drs and nurses do not have crystal balls, they work long hard hours, often under staffed and without a drink or a break. I'm tired of hearing people moan that they had to wait ten hours for a bed. What do you want the wards to do? Erect bunk beds? What a silly statement to make. In order to make beds available, patients have to be discharged from the wards, sometimes 'too early'. Isn't that what happened in this case?

Reply Posted by kirsty on Thursday August 22 2013 at 22:45
barnsley hospital wants closin dwn for good ... i lost my daughter in 2011 n i found out tht thy ad dne nwt but lie to me tht hospital is a descrace

Reply Posted by A concerned mum on Thursday August 22 2013 at 22:51
How very dare anyone who doesn't even know this situation at all defend the hospital and its staff!!!!!!!! NO ACCIDENT OR MISTAKES WHATSOEVER should happen with any baby!! It's disgusting how u are just shoved out the door!! If Dylan had been kept in for observation like he should've done this would be a different story!!!! Any mum that has antibiotics during labour their baby has to be monitored for 24hrs!! I know this 1st hand with both my children!!!!!! How anyone can defend anyone in this matter, you should be ashamed of yourselves!!!!! You obviously don't have children!!!!!

Reply Posted by demi on Friday August 23 2013 at 00:53
I had a little girl at this hospital in 2011 due to an incompetent doctor she was starved of oxygen and later died from severe brain damage. Rip dylan

Reply Posted by stace on Friday August 23 2013 at 02:45
Its disgusting!! Had my baby 9 weeks ago,they got his weight wrong by 10oz, none of the 2 bothered looking at the clock and then both widwifes said none of them were guna get my placenta out as they'd only ever done it twice before so they disappeared n eventually came bk with another midwife to do it.. :/

Reply Posted by stace on Friday August 23 2013 at 02:45
Its disgusting!! Had my baby 9 weeks ago,they got his weight wrong by 10oz, none of the 2 bothered looking at the clock and then both widwifes said none of them were guna get my placenta out as they'd only ever done it twice before so they disappeared n eventually came bk with another midwife to do it.. :/

Reply Posted by Mixed feelings on Wednesday August 28 2013 at 10:08
at every stage i was constantly asked my history - why didnt mum say anything? Is this somehting that could have been avoided? its hard to comment without all the facts. Remember if you make a mistke no one notices but in thier job its very stressful and busy and they know how important it is to get things righyt. the person who made that mistke will feel so inredibly terrible. we should all work together to get a sytem that works better. no point in husge rants. we all feel awful and we need to look how this can be avoided again. no one should have to face this, but it would be careless to leave your care to one person. talk to your doctors. work with them. we demand so much from a free service. help make it better.