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Home / New Zealand

Tribunal deliberates over Caesarean-section case

By Solbin Kang
NZME.·
6 Nov, 2015 12:16 AM3 mins to read

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The doctor is facing a charge of professional misconduct over the Caesarean section. Photo / iStock

The doctor is facing a charge of professional misconduct over the Caesarean section. Photo / iStock

A decision on whether a doctor accused of failing to provide adequate pain relief for a woman who was undergoing a Caesarean birth will not be made public until the end of the year.

The doctor, who has name suppression, was facing a charge of professional misconduct over the Caesarean section and appeared before the Heath Practitioners Disciplinary Tribunal in Wellington this week.

He denied any wrongdoings during the surgery.

The tribunal has gone into deliberations today, but will not formally release its decision until later this year.

Both parties had agreed for a written decision to be made, the tribunal's executive officer Gay Fraser said, and this would not be published until the end of this year.

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The anaesthetist told the tribunal he was unaware the mother, who also has interim name suppression, was in pain during the operation in February 2013, and she had told him the pain was "manageable".

In his evidence of statement yesterday, he stated the mother had told him she wasn't certain whether the sensation she was feeling at the time was "intensified pressure" or actual pain.

He had previously told her feeling pressure was normal, but pain would be dealt with by appropriate pain relief, he said.

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"It was apparent to me from my discussion with [the mother] that the discomfort she was feeling, was, in her own words, manageable," he said.

Earlier this week midwife Rosemary Johnson told the tribunal that among the 100 or so Caesarean section births she had attended, this one stood out.

"It is the only one where I have had concerns my patient's needs were not being met by a member of the professional team," she said.

The doctor appeared "disinterested" at the mother's "obvious discomfort", she said.

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As the incision was closed, Ms Johnson noticed the mother's blood pressure had dropped and her lips had turned blue.

Ms Johnson asked the doctor for more pain relief. He checked the blood pressure, decided it was fine, shrugged his shoulders and said "it will be over soon", prosecutor Nicola Wills said.

"Rosie Johnson's evidence is that she was incredulous at [the doctor's] lack of response."

The mother, her partner and a student midwife all heard the doctor say either he had a "real surgery" or "real operation now" after the Caesarean.

A surgeon, who also has interim name suppression, said the doctor was "slouched" in a chair in the corner of the room, while the mother was in pain.

"[The doctor] appeared disinterested. He was slouched in his chair still sitting next to the door. I was reassured by him that she was 'fine and feeling pressure'," the surgeon said.

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Interim name suppression for all parties will continue at least until the written decision has been released.

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