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Thursday 21 September 2017

Tragic mum named new baby before fatal coma

A PREGNANT diabetic woman died after complications during an emergency caesarean left her in a coma for seven months, an inquest has heard.

Mother-of-two Jennifer Crean (35), from Ashford in Co Wicklow, died at St Vincent's Hospital on February 10, 2009.

Dublin Coroner's Court heard yesterday how the last thing she did before slipping into a coma was name her baby boy.

Ms Crean suffered a heart attack while doctors delivered her son by C-section and fell into a coma on July 2, 2008.

She had reported to the National Maternity Hospital in Holles Street four days earlier complaining of pain in her side and sweating profusely.

She was a diabetic, but resistant to insulin injections, and a central line had been installed at St Vincent's Hospital for the administration of medication.

The inquest heard that the line was susceptible to infection and needed to be changed every five weeks. The last time it was done was at St Vincent's on May 20.

Her husband Francis Crean told Dublin Coroner's Court that his wife had repeatedly told Holles Street staff that her central line should be changed.

However, the line showed no sign of infection when Mrs Crean attended check-ups and was not changed.

His wife was so concerned about the situation that in their last conversation she insisted on naming the couple's unborn baby, he added.

Dr Michael Robson, then master of Holles Street, said that the team had decided not to remove the central line until confirmation of infection. This came on July 1.

Consultant microbiologist Dr Susan Knowles advised that the central line, which was the source of the infection, be removed immediately.

However, several failed attempts had been made to find another point of access to ensure continued delivery of Mrs Crean's insulin and the central line remained in place.

Her condition deteriorated rapidly the following day and it was decided to carry out an emergency C-section.

Consultant anaesthetist Dr Ola Rosaeg had difficulty intubating her. Mrs Crean's heart rate dropped suddenly and she went into cardiac arrest.

CPR was administered as the baby was delivered. Mrs Crean was taken to intensive care at Beaumont Hospital, and later transferred to St Vincent's where she passed away.

The inquest continues.

hnews@herald.ie

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