Ivy Morris died aged 4 months as a result of injuries sustained during her delivery at the Princess Royal Hospital, Telford.

Richard (instructed by Penningtons solicitors) represented Ivy’s family at an inquest before HM Senior Coroner for Shropshire, Telford and Wrekin on 12 October 2016.

The Coroner concluded that Ivy’s death would have been prevented had appropriate monitoring taken place during the second stage of labour. Tragically, mistakes were made in the interpretation of the CTG trace, with the maternal heartbeat being mistaken for Ivy’s. The Coroner exercised his power to provide a Regulation 28 report for the prevention of future deaths, which was sent to the Chief Executive of Shrewsbury and Telford NHS Trust.

Ivy’s case is one of several perinatal deaths at the Trust which have prompted the Secretary of State for Health, Jeremy Hunt, to request NHS England and NHS Improvement to review a series of deaths and other incidents at the Trust.