Children died after childbirth - CSK reported

It was the woman's second child and a care planning had been established. Despite this, something went wrong and a decision on Caesarean section was made. The child was born with shortness of breath and was transported to Linköping for treatment, where the child later died.

The hospital made a lex Maria notification to IVO, the Inspection for Care and Care, after the incident. One of the identified causes of the incident is linked to routines during over-reporting. The authority writes like this:

"There were several transitions in care with over-reporting, situations where normal routines and working methods were departed, which became a patient safety risk."

Another cause is stated to be inadequate control of fetal heart sounds and aches - so-called CTG tests.

Following the notification, the hospital has introduced new procedures. The staff must annually conduct a knowledge test for CTG exams, newly hired midwives should be trained for six weeks next to an experienced midwife, the staff should regularly participate in external training and the routines for how "temporary difficulties" will be implemented.

IVO now considers that the hospital in Karlstad has fulfilled its obligations after the incident.